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 $234.42 Median $524.81 Typical High $2,691.53 | Facility | None | $234.42 | $524.81 | $2,691.53 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $363.08 Typical High $562.34 | Professional | None | $234.42 | $363.08 | $562.34 |
Anthem BCBS Setting Professional Modifier None Typical Low $208.93 Median $251.19 Typical High $371.54 | Professional | None | $208.93 | $251.19 | $371.54 |
CDPHP Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None | $309.03 | $309.03 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $630.96 Typical High $1,778.28 | Facility | None | $501.19 | $630.96 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $275.42 Typical High $954.99 | Professional | None | $229.09 | $275.42 | $954.99 |
Emblem Health Setting Facility Modifier None Typical Low $416.87 Median $537.03 Typical High $1,737.80 | Facility | None | $416.87 | $537.03 | $1,737.80 |
Emblem Health Setting Professional Modifier None Typical Low $457.09 Median $537.03 Typical High $794.33 | Professional | None | $457.09 | $537.03 | $794.33 |
Excellus BCBS Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Excellus BCBS Setting Professional Modifier None Typical Low $199.53 Median $416.87 Typical High $575.44 | Professional | None | $199.53 | $416.87 | $575.44 |
Highmark BCBS Setting Facility Modifier None Typical Low $269.15 Median $691.83 Typical High $4,073.80 | Facility | None | $269.15 | $691.83 | $4,073.80 |
Highmark BCBS Setting Professional Modifier None Typical Low $257.04 Median $426.58 Typical High $524.81 | Professional | None | $257.04 | $426.58 | $524.81 |
MVP Health Care Setting Facility Modifier None Typical Low $138.04 Median $257.04 Typical High $257.04 | Facility | None | $138.04 | $257.04 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $131.83 | Professional | None | $109.65 | $109.65 | $131.83 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $1,288.25 Typical High $1,584.89 | Facility | None | $1,122.02 | $1,288.25 | $1,584.89 |
United Setting Professional Modifier None Typical Low $204.17 Median $331.13 Typical High $776.25 | Professional | None | $204.17 | $331.13 | $776.25 |
Univera Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $457.09 | Facility | None | $64.57 | $64.57 | $457.09 |
Univera Setting Professional Modifier None Typical Low $151.36 Median $407.38 Typical High $575.44 | Professional | None | $151.36 | $407.38 | $575.44 |
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 52 · Reduced service Typical Low $117.49 Median $181.97 Typical High $181.97 | Professional | 52 · Reduced service | $117.49 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $72.44 Typical High $72.44 | Professional | 53 · Discontinued | $46.77 | $72.44 | $72.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $186.21 Median $288.40 Typical High $288.40 | Professional | FX · Film X-ray | $186.21 | $288.40 | $288.40 |
Where New York sits
The same service costs 5.1 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· 46th of 51
$257
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.