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 $46.77 Median $58.88 Typical High $144.54 | Facility | None | $46.77 | $58.88 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $72.44 | Professional | None | $46.77 | $46.77 | $72.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $114.82 Median $141.25 Typical High $165.96 | Professional | None | $114.82 | $141.25 | $165.96 |
CDPHP Setting Professional Modifier None Typical Low $79.43 Median $83.18 Typical High $123.03 | Professional | None | $79.43 | $83.18 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $144.54 Typical High $776.25 | Facility | None | $104.71 | $144.54 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $50.12 Typical High $245.47 | Professional | None | $41.69 | $50.12 | $245.47 |
Emblem Health Setting Facility Modifier None Typical Low $39.81 Median $58.88 Typical High $165.96 | Facility | None | $39.81 | $58.88 | $165.96 |
Emblem Health Setting Professional Modifier None Typical Low $53.70 Median $57.54 Typical High $125.89 | Professional | None | $53.70 | $57.54 | $125.89 |
Excellus BCBS Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
Excellus BCBS Setting Professional Modifier None Typical Low $47.86 Median $64.57 Typical High $162.18 | Professional | None | $47.86 | $64.57 | $162.18 |
MVP Health Care Setting Facility Modifier None Typical Low $81.28 Median $107.15 Typical High $257.04 | Facility | None | $81.28 | $107.15 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $87.10 Median $251.19 Typical High $251.19 | Professional | None | $87.10 | $251.19 | $251.19 |
United Setting Facility Modifier None Typical Low $707.95 Median $812.83 Typical High $1,000.00 | Facility | None | $707.95 | $812.83 | $1,000.00 |
United Setting Professional Modifier None Typical Low $39.81 Median $54.95 Typical High $186.21 | Professional | None | $39.81 | $54.95 | $186.21 |
Univera Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $199.53 | Facility | None | $63.10 | $63.10 | $199.53 |
Univera Setting Professional Modifier None Typical Low $47.86 Median $72.44 Typical High $162.18 | Professional | None | $47.86 | $72.44 | $162.18 |
5 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 52 · Reduced service Typical Low $23.44 Median $23.44 Typical High $36.31 | Professional | 52 · Reduced service | $23.44 | $23.44 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $9.33 Typical High $14.45 | Professional | 53 · Discontinued | $9.33 | $9.33 | $14.45 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $37.15 Median $37.15 Typical High $47.86 | Professional | FX · Film X-ray | $37.15 | $37.15 | $47.86 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $54.95 Median $54.95 Typical High $141.25 | Professional | GL · Free upgrade | $54.95 | $54.95 | $141.25 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $39.81 Typical High $56.23 | Professional | 53 · Discontinued | $32.36 | $39.81 | $56.23 |
Where New York sits
The same service costs 4.1 times more in Alaska 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· 12th of 51
$135
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.