How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $72.44 Median $117.49 Typical High $338.84 | Facility | None | $72.44 | $117.49 | $338.84 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $21.38 Median $27.54 Typical High $75.86 | Facility | 26 · Professional part | $21.38 | $27.54 | $75.86 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $51.29 Median $91.20 Typical High $257.04 | Facility | TC · Technical part | $51.29 | $91.20 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $213.80 | Professional | None (both parts) | $72.44 | $72.44 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $23.99 Typical High $47.86 | Professional | 26 · Professional part | $21.38 | $23.99 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $51.29 Typical High $165.96 | Professional | TC · Technical part | $51.29 | $51.29 | $165.96 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | 26 · Professional part | $22.39 | $22.39 | $22.39 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $63.10 Median $75.86 Typical High $186.21 | Professional | None (both parts) | $63.10 | $75.86 | $186.21 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $16.98 Typical High $46.77 | Professional | 26 · Professional part | $14.45 | $16.98 | $46.77 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $58.88 Typical High $141.25 | Professional | TC · Technical part | $50.12 | $58.88 | $141.25 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $38.90 Median $125.89 Typical High $162.18 | Professional | None (both parts) | $38.90 | $125.89 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $380.19 Typical High $416.87 | Facility | None | $190.55 | $380.19 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $112.20 Typical High $398.11 | Professional | None (both parts) | $87.10 | $112.20 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $29.51 Typical High $95.50 | Professional | 26 · Professional part | $19.50 | $29.51 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $186.21 Typical High $467.74 | Professional | TC · Technical part | $58.88 | $186.21 | $467.74 |
Emblem Health Setting Facility Modifier None Typical Low $75.86 Median $117.49 Typical High $331.13 | Facility | None | $75.86 | $117.49 | $331.13 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $134.90 Median $173.78 Typical High $436.52 | Professional | None (both parts) | $134.90 | $173.78 | $436.52 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $32.36 Typical High $52.48 | Professional | 26 · Professional part | $28.18 | $32.36 | $52.48 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $117.49 Typical High $186.21 | Professional | TC · Technical part | $109.65 | $117.49 | $186.21 |
Excellus BCBS Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | TC · Technical part | $15.14 | $15.14 | $15.14 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $51.29 Median $114.82 Typical High $165.96 | Professional | None (both parts) | $51.29 | $114.82 | $165.96 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $26.30 Typical High $39.81 | Professional | 26 · Professional part | $15.14 | $26.30 | $39.81 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $89.13 Typical High $128.82 | Professional | TC · Technical part | $36.31 | $89.13 | $128.82 |
Highmark BCBS Setting Facility Modifier None Typical Low $83.18 Median $245.47 Typical High $2,454.71 | Facility | None | $83.18 | $245.47 | $2,454.71 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $45.71 | Professional | 26 · Professional part | $31.62 | $31.62 | $45.71 |
MVP Health Care Setting Facility Modifier None Typical Low $89.13 Median $162.18 Typical High $257.04 | Facility | None | $89.13 | $162.18 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $204.17 | Professional | None (both parts) | $79.43 | $79.43 | $204.17 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $36.31 Typical High $53.70 | Professional | 26 · Professional part | $28.18 | $36.31 | $53.70 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $107.15 Typical High $177.83 | Professional | TC · Technical part | $79.43 | $107.15 | $177.83 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $109.65 Typical High $251.19 | Professional | None (both parts) | $85.11 | $109.65 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $26.92 Typical High $63.10 | Professional | 26 · Professional part | $20.42 | $26.92 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $81.28 Typical High $190.55 | Professional | TC · Technical part | $64.57 | $81.28 | $190.55 |
Univera Setting Facility Modifier None Typical Low $25.12 Median $100.00 Typical High $158.49 | Facility | None | $25.12 | $100.00 | $158.49 |
Univera Setting Facility Modifier 26 · Professional part Typical Low $23.99 Median $23.99 Typical High $66.07 | Facility | 26 · Professional part | $23.99 | $23.99 | $66.07 |
Univera Setting Facility Modifier TC · Technical part Typical Low $15.14 Median $77.62 Typical High $107.15 | Facility | TC · Technical part | $15.14 | $77.62 | $107.15 |
Univera Setting Professional Modifier None (both parts) Typical Low $51.29 Median $107.15 Typical High $162.18 | Professional | None (both parts) | $51.29 | $107.15 | $162.18 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $25.12 Typical High $38.90 | Professional | 26 · Professional part | $15.14 | $25.12 | $38.90 |
Univera Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $83.18 Typical High $123.03 | Professional | TC · Technical part | $36.31 | $83.18 | $123.03 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $57.54 Median $57.54 Typical High $95.50 | Professional | FX · Film X-ray | $57.54 | $57.54 | $95.50 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $95.50 Median $109.65 Typical High $186.21 | Professional | FY · Cassette-based X-ray | $95.50 | $109.65 | $186.21 |
Fidelis Setting Professional Modifier 59 · Distinct service Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | 59 · Distinct service | $128.82 | $128.82 | $128.82 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $95.50 Median $109.65 Typical High $158.49 | Professional | FY · Cassette-based X-ray | $95.50 | $109.65 | $158.49 |
Where New York sits
The same service costs 4.5 times more in Alaska than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
New York· 51st of 51
$79.43
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.