How much rates vary
Facilitymedian $129 · 10th to 90th $98 to $339Professionalmedian $112 · 10th to 90th $91 to $251
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 $107.15 Median $128.82 Typical High $234.42 | Facility | None | $107.15 | $128.82 | $234.42 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $27.54 Median $37.15 Typical High $83.18 | Facility | 26 · Professional part | $27.54 | $37.15 | $83.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $79.43 Median $93.33 Typical High $269.15 | Facility | TC · Technical part | $79.43 | $93.33 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $208.93 | Professional | None (both parts) | $107.15 | $107.15 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $56.23 | Professional | 26 · Professional part | $27.54 | $27.54 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $79.43 Typical High $151.36 | Professional | TC · Technical part | $79.43 | $79.43 | $151.36 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $85.11 Median $112.20 Typical High $123.03 | Professional | None (both parts) | $85.11 | $112.20 | $123.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $91.20 Median $107.15 Typical High $194.98 | Professional | None (both parts) | $91.20 | $107.15 | $194.98 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $28.18 Typical High $47.86 | Professional | 26 · Professional part | $23.99 | $28.18 | $47.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $77.62 Typical High $128.82 | Professional | TC · Technical part | $66.07 | $77.62 | $128.82 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $52.48 Median $131.83 Typical High $186.21 | Professional | None (both parts) | $52.48 | $131.83 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $281.84 Typical High $371.54 | Facility | None | $199.53 | $281.84 | $371.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $158.49 Typical High $457.09 | Professional | None (both parts) | $100.00 | $158.49 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $27.54 Typical High $91.20 | Professional | 26 · Professional part | $25.70 | $27.54 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $114.82 Typical High $331.13 | Professional | TC · Technical part | $72.44 | $114.82 | $331.13 |
Emblem Health Setting Facility Modifier None Typical Low $91.20 Median $112.20 Typical High $363.08 | Facility | None | $91.20 | $112.20 | $363.08 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $120.23 Median $151.36 Typical High $213.80 | Professional | None (both parts) | $120.23 | $151.36 | $213.80 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $40.74 Typical High $83.18 | Professional | 26 · Professional part | $38.02 | $40.74 | $83.18 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $109.65 Typical High $162.18 | Professional | TC · Technical part | $102.33 | $109.65 | $162.18 |
Excellus BCBS Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | TC · Technical part | $58.88 | $58.88 | $58.88 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $109.65 Median $120.23 Typical High $181.97 | Professional | None (both parts) | $109.65 | $120.23 | $181.97 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $33.88 Typical High $52.48 | Professional | 26 · Professional part | $32.36 | $33.88 | $52.48 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $85.11 Typical High $131.83 | Professional | TC · Technical part | $69.18 | $85.11 | $131.83 |
Fidelis Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $40.74 Typical High $54.95 | Professional | 26 · Professional part | $30.90 | $40.74 | $54.95 |
Highmark BCBS Setting Facility Modifier None Typical Low $75.86 Median $144.54 Typical High $501.19 | Facility | None | $75.86 | $144.54 | $501.19 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $87.10 Median $141.25 Typical High $457.09 | Facility | TC · Technical part | $87.10 | $141.25 | $457.09 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $120.23 Median $162.18 Typical High $263.03 | Professional | None (both parts) | $120.23 | $162.18 | $263.03 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $45.71 Typical High $74.13 | Professional | 26 · Professional part | $33.88 | $45.71 | $74.13 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $165.96 Typical High $257.04 | Facility | None | $107.15 | $165.96 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $190.55 Median $323.59 Typical High $338.84 | Professional | None (both parts) | $190.55 | $323.59 | $338.84 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $50.12 Typical High $63.10 | Professional | 26 · Professional part | $39.81 | $50.12 | $63.10 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $128.82 Typical High $169.82 | Professional | TC · Technical part | $102.33 | $128.82 | $169.82 |
United Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $117.49 | Facility | None | $91.20 | $91.20 | $117.49 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $125.89 Typical High $229.09 | Professional | None (both parts) | $97.72 | $125.89 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $33.88 Typical High $63.10 | Professional | 26 · Professional part | $26.30 | $33.88 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $91.20 Typical High $165.96 | Professional | TC · Technical part | $72.44 | $91.20 | $165.96 |
Univera Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $165.96 | Facility | None | $97.72 | $97.72 | $165.96 |
Univera Setting Facility Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $117.49 | Facility | TC · Technical part | $58.88 | $58.88 | $117.49 |
Univera Setting Professional Modifier None (both parts) Typical Low $109.65 Median $120.23 Typical High $169.82 | Professional | None (both parts) | $109.65 | $120.23 | $169.82 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.02 Typical High $48.98 | Professional | 26 · Professional part | $32.36 | $38.02 | $48.98 |
Univera Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $85.11 Typical High $120.23 | Professional | TC · Technical part | $69.18 | $85.11 | $120.23 |
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 $85.11 Median $85.11 Typical High $104.71 | Professional | FX · Film X-ray | $85.11 | $85.11 | $104.71 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $95.50 Median $114.82 Typical High $173.78 | Professional | FY · Cassette-based X-ray | $95.50 | $114.82 | $173.78 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $89.13 Typical High $128.82 | Professional | 53 · Discontinued | $72.44 | $89.13 | $128.82 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $95.50 Median $114.82 Typical High $173.78 | Professional | FY · Cassette-based X-ray | $95.50 | $114.82 | $173.78 |
Where New York sits
The same service costs 5.4 times more in Vermont 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· 48th of 51
$112
VT $550TX $102
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.