How much rates vary
Facilitymedian $71 · 10th to 90th $35 to $209Professionalmedian $59 · 10th to 90th $49 to $105
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 $50.12 Median $66.07 Typical High $154.88 | Facility | None | $50.12 | $66.07 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $72.44 | Professional | None (both parts) | $50.12 | $50.12 | $72.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $17.38 Typical High $22.39 | Professional | 26 · Professional part | $17.38 | $17.38 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $32.36 Typical High $47.86 | Professional | TC · Technical part | $32.36 | $32.36 | $47.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $50.12 Median $56.23 Typical High $102.33 | Professional | None (both parts) | $50.12 | $56.23 | $102.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $21.38 Typical High $63.10 | Professional | 26 · Professional part | $18.20 | $21.38 | $63.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $38.02 Typical High $61.66 | Professional | TC · Technical part | $32.36 | $38.02 | $61.66 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $30.20 Median $61.66 Typical High $91.20 | Professional | None (both parts) | $30.20 | $61.66 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $147.91 Typical High $389.05 | Facility | None | $107.15 | $147.91 | $389.05 |
Cigna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $57.54 Typical High $309.03 | Professional | None (both parts) | $47.86 | $57.54 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $16.60 Typical High $54.95 | Professional | 26 · Professional part | $14.79 | $16.60 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $38.90 Typical High $213.80 | Professional | TC · Technical part | $31.62 | $38.90 | $213.80 |
Emblem Health Setting Facility Modifier None Typical Low $35.48 Median $54.95 Typical High $154.88 | Facility | None | $35.48 | $54.95 | $154.88 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $61.66 Median $66.07 Typical High $109.65 | Professional | None (both parts) | $61.66 | $66.07 | $109.65 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.42 Typical High $43.65 | Professional | 26 · Professional part | $20.42 | $20.42 | $43.65 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $44.67 Typical High $77.62 | Professional | TC · Technical part | $44.67 | $44.67 | $77.62 |
Excellus BCBS Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | TC · Technical part | $21.38 | $21.38 | $21.38 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $47.86 Median $61.66 Typical High $93.33 | Professional | None (both parts) | $47.86 | $61.66 | $93.33 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $19.95 Typical High $30.20 | Professional | 26 · Professional part | $12.30 | $19.95 | $30.20 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $41.69 Typical High $63.10 | Professional | TC · Technical part | $34.67 | $41.69 | $63.10 |
Highmark BCBS Setting Facility Modifier None Typical Low $138.04 Median $151.36 Typical High $194.98 | Facility | None | $138.04 | $151.36 | $194.98 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.70 Typical High $25.70 | Professional | 26 · Professional part | $25.12 | $25.70 | $25.70 |
MVP Health Care Setting Facility Modifier None Typical Low $45.71 Median $107.15 Typical High $257.04 | Facility | None | $45.71 | $107.15 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $154.88 | Professional | None (both parts) | $79.43 | $79.43 | $154.88 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $28.84 Typical High $36.31 | Professional | 26 · Professional part | $23.44 | $28.84 | $36.31 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $53.70 Typical High $74.13 | Professional | TC · Technical part | $42.66 | $53.70 | $74.13 |
United Setting Facility Modifier None Typical Low $208.93 Median $245.47 Typical High $302.00 | Facility | None | $208.93 | $245.47 | $302.00 |
United Setting Professional Modifier None (both parts) Typical Low $47.86 Median $58.88 Typical High $107.15 | Professional | None (both parts) | $47.86 | $58.88 | $107.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $19.50 Typical High $37.15 | Professional | 26 · Professional part | $16.22 | $19.50 | $37.15 |
United Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $38.90 Typical High $72.44 | Professional | TC · Technical part | $32.36 | $38.90 | $72.44 |
Univera Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $125.89 | Facility | None | $35.48 | $35.48 | $125.89 |
Univera Setting Facility Modifier TC · Technical part Typical Low $21.38 Median $21.38 Typical High $85.11 | Facility | TC · Technical part | $21.38 | $21.38 | $85.11 |
Univera Setting Professional Modifier None (both parts) Typical Low $47.86 Median $60.26 Typical High $85.11 | Professional | None (both parts) | $47.86 | $60.26 | $85.11 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $19.50 Typical High $27.54 | Professional | 26 · Professional part | $12.30 | $19.50 | $27.54 |
Univera Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $40.74 Typical High $57.54 | Professional | TC · Technical part | $34.67 | $40.74 | $57.54 |
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 $39.81 Median $39.81 Typical High $52.48 | Professional | FX · Film X-ray | $39.81 | $39.81 | $52.48 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $61.66 Median $61.66 Typical High $64.57 | Professional | GL · Free upgrade | $61.66 | $61.66 | $64.57 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $48.98 Median $58.88 Typical High $89.13 | Professional | FY · Cassette-based X-ray | $48.98 | $58.88 | $89.13 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $54.95 Median $58.88 Typical High $89.13 | Professional | FY · Cassette-based X-ray | $54.95 | $58.88 | $89.13 |
Where New York sits
The same service costs 5.9 times more in Alaska than in Utah. 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
$58.88
AK $195UT $33.11
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.