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 $107.15 Median $165.96 Typical High $741.31 | Facility | None | $107.15 | $165.96 | $741.31 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $141.25 Typical High $177.83 | Professional | None | $104.71 | $141.25 | $177.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $83.18 Median $100.00 Typical High $204.17 | Professional | None | $83.18 | $100.00 | $204.17 |
CDPHP Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None | $151.36 | $151.36 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $812.83 Typical High $977.24 | Facility | None | $177.83 | $812.83 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $120.23 Typical High $380.19 | Professional | None | $95.50 | $120.23 | $380.19 |
Emblem Health Setting Facility Modifier None Typical Low $102.33 Median $125.89 Typical High $416.87 | Facility | None | $102.33 | $125.89 | $416.87 |
Emblem Health Setting Professional Modifier None Typical Low $112.20 Median $138.04 Typical High $199.53 | Professional | None | $112.20 | $138.04 | $199.53 |
Excellus BCBS Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Excellus BCBS Setting Professional Modifier None Typical Low $89.13 Median $102.33 Typical High $162.18 | Professional | None | $89.13 | $102.33 | $162.18 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $204.17 Typical High $501.19 | Facility | None | $107.15 | $204.17 | $501.19 |
MVP Health Care Setting Professional Modifier None Typical Low $141.25 Median $346.74 Typical High $346.74 | Professional | None | $141.25 | $346.74 | $346.74 |
United Setting Professional Modifier None Typical Low $83.18 Median $114.82 Typical High $309.03 | Professional | None | $83.18 | $114.82 | $309.03 |
Univera Setting Facility Modifier None Typical Low $97.72 Median $234.42 Typical High $309.03 | Facility | None | $97.72 | $234.42 | $309.03 |
Univera Setting Professional Modifier None Typical Low $89.13 Median $102.33 Typical High $204.17 | Professional | None | $89.13 | $102.33 | $204.17 |
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 $53.70 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $53.70 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $21.38 | $28.18 | $28.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $85.11 Median $112.20 Typical High $112.20 | Professional | FX · Film X-ray | $85.11 | $112.20 | $112.20 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $70.79 Typical High $109.65 | Professional | 53 · Discontinued | $60.26 | $70.79 | $109.65 |
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
$105
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.