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 $70.79 Median $109.65 Typical High $489.78 | Facility | None | $70.79 | $109.65 | $489.78 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $95.50 Typical High $114.82 | Professional | None | $67.61 | $95.50 | $114.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $56.23 Median $66.07 Typical High $131.83 | Professional | None | $56.23 | $66.07 | $131.83 |
CDPHP Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $537.03 Typical High $645.65 | Facility | None | $117.49 | $537.03 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $79.43 Typical High $245.47 | Professional | None | $63.10 | $79.43 | $245.47 |
Emblem Health Setting Facility Modifier None Typical Low $66.07 Median $81.28 Typical High $275.42 | Facility | None | $66.07 | $81.28 | $275.42 |
Emblem Health Setting Professional Modifier None Typical Low $72.44 Median $89.13 Typical High $131.83 | Professional | None | $72.44 | $89.13 | $131.83 |
Excellus BCBS Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
Excellus BCBS Setting Professional Modifier None Typical Low $58.88 Median $66.07 Typical High $104.71 | Professional | None | $58.88 | $66.07 | $104.71 |
Highmark BCBS Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None | $81.28 | $81.28 | $81.28 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $141.25 Typical High $331.13 | Facility | None | $107.15 | $141.25 | $331.13 |
MVP Health Care Setting Professional Modifier None Typical Low $93.33 Median $251.19 Typical High $251.19 | Professional | None | $93.33 | $251.19 | $251.19 |
United Setting Professional Modifier None Typical Low $54.95 Median $75.86 Typical High $204.17 | Professional | None | $54.95 | $75.86 | $204.17 |
Univera Setting Facility Modifier None Typical Low $64.57 Median $154.88 Typical High $204.17 | Facility | None | $64.57 | $154.88 | $204.17 |
Univera Setting Professional Modifier None Typical Low $58.88 Median $66.07 Typical High $134.90 | Professional | None | $58.88 | $66.07 | $134.90 |
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 52 · Reduced service Typical Low $34.67 Median $46.77 Typical High $46.77 | Professional | 52 · Reduced service | $34.67 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $19.05 Typical High $19.05 | Professional | 53 · Discontinued | $14.13 | $19.05 | $19.05 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $56.23 Median $75.86 Typical High $75.86 | Professional | FX · Film X-ray | $56.23 | $75.86 | $75.86 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $46.77 Typical High $72.44 | Professional | 53 · Discontinued | $38.90 | $46.77 | $72.44 |
Where New York sits
The same service costs 4.2 times more in Alaska than in New York. 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· 51st of 51
$67.61
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.