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 $371.54 Median $1,445.44 Typical High $2,238.72 | Facility | None | $371.54 | $1,445.44 | $2,238.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $371.54 Typical High $446.68 | Professional | None (both parts) | $229.09 | $371.54 | $446.68 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $112.20 Typical High $120.23 | Professional | 26 · Professional part | $70.79 | $112.20 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $257.04 Typical High $281.84 | Professional | TC · Technical part | $158.49 | $257.04 | $281.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $229.09 Median $269.15 Typical High $363.08 | Professional | None (both parts) | $229.09 | $269.15 | $363.08 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $75.86 Typical High $91.20 | Professional | 26 · Professional part | $64.57 | $75.86 | $91.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $194.98 Typical High $257.04 | Professional | TC · Technical part | $165.96 | $194.98 | $257.04 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $100.00 Median $234.42 Typical High $338.84 | Professional | None (both parts) | $100.00 | $234.42 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $501.19 Typical High $602.56 | Facility | None | $338.84 | $501.19 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $194.98 Typical High $1,023.29 | Professional | None (both parts) | $177.83 | $194.98 | $1,023.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $53.70 Typical High $190.55 | Professional | 26 · Professional part | $50.12 | $53.70 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $141.25 Typical High $707.95 | Professional | TC · Technical part | $125.89 | $141.25 | $707.95 |
Emblem Health Setting Facility Modifier None Typical Low $117.49 Median $181.97 Typical High $524.81 | Facility | None | $117.49 | $181.97 | $524.81 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $204.17 Median $257.04 Typical High $363.08 | Professional | None (both parts) | $204.17 | $257.04 | $363.08 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $77.62 Typical High $138.04 | Professional | 26 · Professional part | $64.57 | $77.62 | $138.04 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $177.83 Typical High $263.03 | Professional | TC · Technical part | $165.96 | $177.83 | $263.03 |
Excellus BCBS Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | TC · Technical part | $302.00 | $302.00 | $302.00 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $173.78 Median $204.17 Typical High $363.08 | Professional | None (both parts) | $173.78 | $204.17 | $363.08 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $64.57 Typical High $117.49 | Professional | 26 · Professional part | $50.12 | $64.57 | $117.49 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $138.04 Typical High $251.19 | Professional | TC · Technical part | $125.89 | $138.04 | $251.19 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | TC · Technical part | $660.69 | $660.69 | $660.69 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None (both parts) | $309.03 | $309.03 | $309.03 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $257.04 Typical High $645.65 | Facility | None | $107.15 | $257.04 | $645.65 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $602.56 | Professional | None (both parts) | $218.78 | $218.78 | $602.56 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $151.36 Typical High $208.93 | Professional | 26 · Professional part | $74.13 | $151.36 | $208.93 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $371.54 Typical High $512.86 | Professional | TC · Technical part | $169.82 | $371.54 | $512.86 |
United Setting Facility Modifier None Typical Low $478.63 Median $562.34 Typical High $691.83 | Facility | None | $478.63 | $562.34 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $234.42 Typical High $741.31 | Professional | None (both parts) | $173.78 | $234.42 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $66.07 Typical High $134.90 | Professional | 26 · Professional part | $52.48 | $66.07 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $162.18 Typical High $562.34 | Professional | TC · Technical part | $123.03 | $162.18 | $562.34 |
Univera Setting Facility Modifier None Typical Low $190.55 Median $501.19 Typical High $501.19 | Facility | None | $190.55 | $501.19 | $501.19 |
Univera Setting Facility Modifier TC · Technical part Typical Low $128.82 Median $302.00 Typical High $302.00 | Facility | TC · Technical part | $128.82 | $302.00 | $302.00 |
Univera Setting Professional Modifier None (both parts) Typical Low $173.78 Median $204.17 Typical High $363.08 | Professional | None (both parts) | $173.78 | $204.17 | $363.08 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $64.57 Typical High $117.49 | Professional | 26 · Professional part | $50.12 | $64.57 | $117.49 |
Univera Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $138.04 Typical High $251.19 | Professional | TC · Technical part | $125.89 | $138.04 | $251.19 |
5 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 |
|---|---|---|---|---|---|
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $446.68 Median $478.63 Typical High $616.60 | Professional | GL · Free upgrade | $446.68 | $478.63 | $616.60 |
Excellus BCBS Setting Professional Modifier FX · Film X-ray Typical Low $147.91 Median $177.83 Typical High $316.23 | Professional | FX · Film X-ray | $147.91 | $177.83 | $316.23 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $162.18 Median $194.98 Typical High $346.74 | Professional | FY · Cassette-based X-ray | $162.18 | $194.98 | $346.74 |
Univera Setting Professional Modifier FX · Film X-ray Typical Low $165.96 Median $177.83 Typical High $316.23 | Professional | FX · Film X-ray | $165.96 | $177.83 | $316.23 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $181.97 Median $194.98 Typical High $346.74 | Professional | FY · Cassette-based X-ray | $181.97 | $194.98 | $346.74 |
Where New York sits
The same service costs 6.5 times more in Wyoming than in Texas. 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· 38th of 51
$263
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.