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 $67.61 Median $100.00 Typical High $288.40 | Facility | None | $67.61 | $100.00 | $288.40 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $20.42 Median $26.92 Typical High $74.13 | Facility | 26 · Professional part | $20.42 | $26.92 | $74.13 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $46.77 Median $74.13 Typical High $331.13 | Facility | TC · Technical part | $46.77 | $74.13 | $331.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $131.83 | Professional | None (both parts) | $67.61 | $67.61 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.42 Typical High $33.88 | Professional | 26 · Professional part | $20.42 | $20.42 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $95.50 | Professional | TC · Technical part | $46.77 | $46.77 | $95.50 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $79.43 | $79.43 | $79.43 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $69.18 Median $87.10 Typical High $128.82 | Professional | None (both parts) | $69.18 | $87.10 | $128.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $22.39 Typical High $33.88 | Professional | 26 · Professional part | $19.05 | $22.39 | $33.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $64.57 Typical High $97.72 | Professional | TC · Technical part | $54.95 | $64.57 | $97.72 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $38.90 Median $100.00 Typical High $138.04 | Professional | None (both parts) | $38.90 | $100.00 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $218.78 Typical High $602.56 | Facility | None | $154.88 | $218.78 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $85.11 Typical High $467.74 | Professional | None (both parts) | $72.44 | $85.11 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $19.95 Typical High $67.61 | Professional | 26 · Professional part | $19.05 | $19.95 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $63.10 Typical High $346.74 | Professional | TC · Technical part | $51.29 | $63.10 | $346.74 |
Emblem Health Setting Facility Modifier None Typical Low $57.54 Median $89.13 Typical High $257.04 | Facility | None | $57.54 | $89.13 | $257.04 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $93.33 Median $100.00 Typical High $165.96 | Professional | None (both parts) | $93.33 | $100.00 | $165.96 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $54.95 | Professional | 26 · Professional part | $25.70 | $25.70 | $54.95 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $74.13 Typical High $128.82 | Professional | TC · Technical part | $74.13 | $74.13 | $128.82 |
Excellus BCBS Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | TC · Technical part | $30.20 | $30.20 | $30.20 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $81.28 Median $93.33 Typical High $141.25 | Professional | None (both parts) | $81.28 | $93.33 | $141.25 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $25.12 Typical High $38.02 | Professional | 26 · Professional part | $14.45 | $25.12 | $38.02 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $67.61 Typical High $104.71 | Professional | TC · Technical part | $64.57 | $67.61 | $104.71 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $79.43 Median $79.43 Typical High $186.21 | Facility | TC · Technical part | $79.43 | $79.43 | $186.21 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $134.90 | Professional | None (both parts) | $97.72 | $97.72 | $134.90 |
MVP Health Care Setting Facility Modifier None Typical Low $74.13 Median $138.04 Typical High $257.04 | Facility | None | $74.13 | $138.04 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $234.42 | Professional | None (both parts) | $89.13 | $89.13 | $234.42 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $36.31 Typical High $45.71 | Professional | 26 · Professional part | $29.51 | $36.31 | $45.71 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $87.10 Typical High $120.23 | Professional | TC · Technical part | $69.18 | $87.10 | $120.23 |
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 $72.44 Median $89.13 Typical High $162.18 | Professional | None (both parts) | $72.44 | $89.13 | $162.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $24.55 Typical High $46.77 | Professional | 26 · Professional part | $19.95 | $24.55 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $63.10 Typical High $120.23 | Professional | TC · Technical part | $52.48 | $63.10 | $120.23 |
Univera Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $190.55 | Facility | None | $50.12 | $50.12 | $190.55 |
Univera Setting Facility Modifier TC · Technical part Typical Low $30.20 Median $30.20 Typical High $138.04 | Facility | TC · Technical part | $30.20 | $30.20 | $138.04 |
Univera Setting Professional Modifier None (both parts) Typical Low $81.28 Median $91.20 Typical High $128.82 | Professional | None (both parts) | $81.28 | $91.20 | $128.82 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $24.55 Typical High $34.67 | Professional | 26 · Professional part | $14.45 | $24.55 | $34.67 |
Univera Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $67.61 Typical High $93.33 | Professional | TC · Technical part | $64.57 | $67.61 | $93.33 |
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 $53.70 Median $53.70 Typical High $81.28 | Professional | FX · Film X-ray | $53.70 | $53.70 | $81.28 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $93.33 Median $93.33 Typical High $95.50 | Professional | GL · Free upgrade | $93.33 | $93.33 | $95.50 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $74.13 Median $89.13 Typical High $134.90 | Professional | FY · Cassette-based X-ray | $74.13 | $89.13 | $134.90 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $83.18 Median $89.13 Typical High $134.90 | Professional | FY · Cassette-based X-ray | $83.18 | $89.13 | $134.90 |
Where New York sits
The same service costs 3.8 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
$87.10
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.