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 $1,000.00 Median $1,819.70 Typical High $6,456.54 | Facility | None | $1,000.00 | $1,819.70 | $6,456.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $1,000.00 Typical High $1,778.28 | Professional | None (both parts) | $208.93 | $1,000.00 | $1,778.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $125.89 Typical High $134.90 | Professional | 26 · Professional part | $29.51 | $125.89 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $870.96 Typical High $1,513.56 | Professional | TC · Technical part | $177.83 | $870.96 | $1,513.56 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $46.77 Median $54.95 Typical High $61.66 | Professional | None (both parts) | $46.77 | $54.95 | $61.66 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $52.48 Typical High $93.33 | Professional | 26 · Professional part | $33.11 | $52.48 | $93.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $26.30 Typical High $28.84 | Professional | TC · Technical part | $21.88 | $26.30 | $28.84 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $42.66 Median $251.19 Typical High $295.12 | Professional | None (both parts) | $42.66 | $251.19 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Facility | None | $323.59 | $323.59 | $323.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $660.69 Typical High $1,047.13 | Professional | None (both parts) | $169.82 | $660.69 | $1,047.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $22.91 Typical High $100.00 | Professional | 26 · Professional part | $21.38 | $22.91 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $575.44 Typical High $912.01 | Professional | TC · Technical part | $144.54 | $575.44 | $912.01 |
Emblem Health Setting Facility Modifier None Typical Low $85.11 Median $131.83 Typical High $380.19 | Facility | None | $85.11 | $131.83 | $380.19 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $154.88 Median $186.21 Typical High $457.09 | Professional | None (both parts) | $154.88 | $186.21 | $457.09 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $38.90 Typical High $58.88 | Professional | 26 · Professional part | $30.20 | $38.90 | $58.88 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $147.91 Typical High $371.54 | Professional | TC · Technical part | $123.03 | $147.91 | $371.54 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $102.33 Median $128.82 Typical High $169.82 | Professional | None (both parts) | $102.33 | $128.82 | $169.82 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $28.18 Typical High $38.02 | Professional | 26 · Professional part | $25.12 | $28.18 | $38.02 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $100.00 Typical High $131.83 | Professional | TC · Technical part | $81.28 | $100.00 | $131.83 |
Highmark BCBS Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $154.88 Typical High $257.04 | Facility | None | $107.15 | $154.88 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $26.30 Median $26.30 Typical High $72.44 | Professional | None (both parts) | $26.30 | $26.30 | $72.44 |
United Setting Professional Modifier None (both parts) Typical Low $25.12 Median $44.67 Typical High $158.49 | Professional | None (both parts) | $25.12 | $44.67 | $158.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $30.20 Typical High $69.18 | Professional | 26 · Professional part | $22.39 | $30.20 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $102.33 Typical High $177.83 | Professional | TC · Technical part | $77.62 | $102.33 | $177.83 |
Univera Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $141.25 | Facility | None | $123.03 | $123.03 | $141.25 |
Univera Setting Professional Modifier None (both parts) Typical Low $102.33 Median $128.82 Typical High $169.82 | Professional | None (both parts) | $102.33 | $128.82 | $169.82 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $28.18 Typical High $38.02 | Professional | 26 · Professional part | $25.12 | $28.18 | $38.02 |
Univera Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $100.00 Typical High $131.83 | Professional | TC · Technical part | $81.28 | $100.00 | $131.83 |
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 |
|---|---|---|---|---|---|
Excellus BCBS Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $109.65 Typical High $141.25 | Professional | FX · Film X-ray | $91.20 | $109.65 | $141.25 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $102.33 Median $123.03 Typical High $158.49 | Professional | FY · Cassette-based X-ray | $102.33 | $123.03 | $158.49 |
Univera Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $109.65 Typical High $141.25 | Professional | FX · Film X-ray | $91.20 | $109.65 | $141.25 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $102.33 Median $123.03 Typical High $158.49 | Professional | FY · Cassette-based X-ray | $102.33 | $123.03 | $158.49 |
Where New York sits
The same service costs 57.5 times more in Alabama than in New Mexico. 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· 49th of 51
$56.23
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.