How much rates vary
Facilitymedian $105 · 10th to 90th $43 to $380Professionalmedian $89 · 10th to 90th $72 to $170
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 $79.43 Median $109.65 Typical High $363.08 | Facility | None | $79.43 | $109.65 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $104.71 Typical High $162.18 | Professional | None | $64.57 | $104.71 | $162.18 |
Ambetter Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None | $67.61 | $67.61 | $67.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $74.13 Median $89.13 Typical High $138.04 | Professional | None | $74.13 | $89.13 | $138.04 |
CDPHP Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None | $112.20 | $112.20 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $302.00 Typical High $1,096.48 | Facility | None | $213.80 | $302.00 | $1,096.48 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $87.10 Typical High $302.00 | Professional | None | $70.79 | $87.10 | $302.00 |
Emblem Health Setting Facility Modifier None Typical Low $85.11 Median $112.20 Typical High $389.05 | Facility | None | $85.11 | $112.20 | $389.05 |
Emblem Health Setting Professional Modifier None Typical Low $100.00 Median $117.49 Typical High $181.97 | Professional | None | $100.00 | $117.49 | $181.97 |
Excellus BCBS Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | None | $42.66 | $42.66 | $42.66 |
Excellus BCBS Setting Professional Modifier None Typical Low $44.67 Median $83.18 Typical High $112.20 | Professional | None | $44.67 | $83.18 | $112.20 |
Highmark BCBS Setting Facility Modifier None Typical Low $104.71 Median $269.15 Typical High $588.84 | Facility | None | $104.71 | $269.15 | $588.84 |
Highmark BCBS Setting Professional Modifier None Typical Low $77.62 Median $83.18 Typical High $95.50 | Professional | None | $77.62 | $83.18 | $95.50 |
MVP Health Care Setting Facility Modifier None Typical Low $91.20 Median $257.04 Typical High $257.04 | Facility | None | $91.20 | $257.04 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $204.17 | Professional | None | $70.79 | $70.79 | $204.17 |
United Setting Facility Modifier None Typical Low $269.15 Median $316.23 Typical High $389.05 | Facility | None | $269.15 | $316.23 | $389.05 |
United Setting Professional Modifier None Typical Low $66.07 Median $95.50 Typical High $234.42 | Professional | None | $66.07 | $95.50 | $234.42 |
Univera Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $169.82 | Facility | None | $42.66 | $42.66 | $169.82 |
Univera Setting Professional Modifier None Typical Low $44.67 Median $83.18 Typical High $125.89 | Professional | None | $44.67 | $83.18 | $125.89 |
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 $39.81 Median $52.48 Typical High $52.48 | Professional | 52 · Reduced service | $39.81 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $20.89 Typical High $20.89 | Professional | 53 · Discontinued | $15.85 | $20.89 | $20.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $63.10 Median $83.18 Typical High $83.18 | Professional | FX · Film X-ray | $63.10 | $83.18 | $83.18 |
Fidelis Setting Professional Modifier 59 · Distinct service Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | 59 · Distinct service | $104.71 | $104.71 | $104.71 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $53.70 Typical High $89.13 | Professional | 53 · Discontinued | $44.67 | $53.70 | $89.13 |
Where New York sits
The same service costs 4.5 times more in Alaska than in Kentucky. 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· 47th of 51
$89.13
AK $363KY $81.28
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.