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 $323.59 Median $457.09 Typical High $1,202.26 | Facility | None | $323.59 | $457.09 | $1,202.26 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $48.98 Median $77.62 Typical High $177.83 | Facility | 26 · Professional part | $48.98 | $77.62 | $177.83 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $269.15 Median $380.19 Typical High $1,258.93 | Facility | TC · Technical part | $269.15 | $380.19 | $1,258.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $416.87 Typical High $1,047.13 | Professional | None (both parts) | $323.59 | $416.87 | $1,047.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $67.61 Typical High $165.96 | Professional | 26 · Professional part | $48.98 | $67.61 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $354.81 Typical High $831.76 | Professional | TC · Technical part | $269.15 | $354.81 | $831.76 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None (both parts) | $338.84 | $338.84 | $338.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $407.38 Median $478.63 Typical High $870.96 | Professional | None (both parts) | $407.38 | $478.63 | $870.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $75.86 Typical High $128.82 | Professional | 26 · Professional part | $64.57 | $75.86 | $128.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $407.38 Typical High $707.95 | Professional | TC · Technical part | $346.74 | $407.38 | $707.95 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $109.65 Median $562.34 Typical High $660.69 | Professional | None (both parts) | $109.65 | $562.34 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $977.24 Median $1,202.26 Typical High $1,584.89 | Facility | None | $977.24 | $1,202.26 | $1,584.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $660.69 Typical High $2,041.74 | Professional | None (both parts) | $371.54 | $660.69 | $2,041.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $60.26 Typical High $234.42 | Professional | 26 · Professional part | $53.70 | $60.26 | $234.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $602.56 Typical High $1,698.24 | Professional | TC · Technical part | $302.00 | $602.56 | $1,698.24 |
Emblem Health Setting Facility Modifier None Typical Low $281.84 Median $436.52 Typical High $1,258.93 | Facility | None | $281.84 | $436.52 | $1,258.93 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $478.63 Median $588.84 Typical High $933.25 | Professional | None (both parts) | $478.63 | $588.84 | $933.25 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $102.33 Typical High $173.78 | Professional | 26 · Professional part | $79.43 | $102.33 | $173.78 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $489.78 Typical High $724.44 | Professional | TC · Technical part | $398.11 | $489.78 | $724.44 |
Excellus BCBS Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | TC · Technical part | $144.54 | $144.54 | $144.54 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $323.59 Median $407.38 Typical High $549.54 | Professional | None (both parts) | $323.59 | $407.38 | $549.54 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $70.79 Typical High $100.00 | Professional | 26 · Professional part | $42.66 | $70.79 | $100.00 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $338.84 Typical High $446.68 | Professional | TC · Technical part | $269.15 | $338.84 | $446.68 |
Fidelis Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $87.10 Typical High $91.20 | Professional | 26 · Professional part | $74.13 | $87.10 | $91.20 |
Highmark BCBS Setting Facility Modifier None Typical Low $489.78 Median $1,412.54 Typical High $3,890.45 | Facility | None | $489.78 | $1,412.54 | $3,890.45 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $446.68 Median $1,584.89 Typical High $3,311.31 | Facility | TC · Technical part | $446.68 | $1,584.89 | $3,311.31 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $389.05 Median $389.05 Typical High $537.03 | Professional | None (both parts) | $389.05 | $389.05 | $537.03 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $257.04 Typical High $724.44 | Facility | None | $107.15 | $257.04 | $724.44 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $676.08 Median $676.08 Typical High $1,174.90 | Professional | None (both parts) | $676.08 | $676.08 | $1,174.90 |
United Setting Facility Modifier None Typical Low $2,630.27 Median $3,019.95 Typical High $3,715.35 | Facility | None | $2,630.27 | $3,019.95 | $3,715.35 |
United Setting Professional Modifier None (both parts) Typical Low $371.54 Median $537.03 Typical High $1,174.90 | Professional | None (both parts) | $371.54 | $537.03 | $1,174.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $87.10 Typical High $190.55 | Professional | 26 · Professional part | $58.88 | $87.10 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $446.68 Typical High $1,000.00 | Professional | TC · Technical part | $309.03 | $446.68 | $1,000.00 |
Univera Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $1,000.00 | Facility | None | $239.88 | $239.88 | $1,000.00 |
Univera Setting Facility Modifier TC · Technical part Typical Low $144.54 Median $144.54 Typical High $831.76 | Facility | TC · Technical part | $144.54 | $144.54 | $831.76 |
Univera Setting Professional Modifier None (both parts) Typical Low $323.59 Median $407.38 Typical High $549.54 | Professional | None (both parts) | $323.59 | $407.38 | $549.54 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $70.79 Typical High $100.00 | Professional | 26 · Professional part | $42.66 | $70.79 | $100.00 |
Univera Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $338.84 Typical High $446.68 | Professional | TC · Technical part | $269.15 | $338.84 | $446.68 |
3 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 $257.04 Median $257.04 Typical High $363.08 | Professional | FX · Film X-ray | $257.04 | $257.04 | $363.08 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $309.03 Median $380.19 Typical High $524.81 | Professional | FY · Cassette-based X-ray | $309.03 | $380.19 | $524.81 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $354.81 Median $380.19 Typical High $549.54 | Professional | FY · Cassette-based X-ray | $354.81 | $380.19 | $549.54 |
Where New York sits
The same service costs 6.3 times more in Minnesota than in Florida. 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· 45th of 51
$479
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.