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 $1.17 Median $15.14 Typical High $36.31 | Facility | None | $1.17 | $15.14 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $23.99 | Professional | None | $14.45 | $14.45 | $23.99 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.22 Median $13.49 Typical High $26.92 | Professional | None | $11.22 | $13.49 | $26.92 |
CDPHP Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | None | $16.22 | $16.22 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $16.22 Median $199.53 Typical High $229.09 | Facility | None | $16.22 | $199.53 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $97.72 | Professional | None | $14.79 | $14.79 | $97.72 |
Emblem Health Setting Facility Modifier None Typical Low $0.56 Median $1.05 Typical High $3.63 | Facility | None | $0.56 | $1.05 | $3.63 |
Emblem Health Setting Professional Modifier None Typical Low $0.78 Median $0.89 Typical High $11.48 | Professional | None | $0.78 | $0.89 | $11.48 |
Excellus BCBS Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Facility | None | $21.88 | $21.88 | $21.88 |
Excellus BCBS Setting Professional Modifier None Typical Low $12.59 Median $14.13 Typical High $23.44 | Professional | None | $12.59 | $14.13 | $23.44 |
Highmark BCBS Setting Facility Modifier None Typical Low $14.79 Median $30.90 Typical High $60.26 | Facility | None | $14.79 | $30.90 | $60.26 |
Highmark BCBS Setting Professional Modifier None Typical Low $12.02 Median $12.30 Typical High $24.55 | Professional | None | $12.02 | $12.30 | $24.55 |
MVP Health Care Setting Facility Modifier None Typical Low $15.14 Median $46.77 Typical High $257.04 | Facility | None | $15.14 | $46.77 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $15.49 Median $34.67 Typical High $38.90 | Professional | None | $15.49 | $34.67 | $38.90 |
United Setting Professional Modifier None Typical Low $1.12 Median $13.18 Typical High $34.67 | Professional | None | $1.12 | $13.18 | $34.67 |
Univera Setting Facility Modifier None Typical Low $14.13 Median $21.88 Typical High $48.98 | Facility | None | $14.13 | $21.88 | $48.98 |
Univera Setting Professional Modifier None Typical Low $11.48 Median $14.13 Typical High $26.30 | Professional | None | $11.48 | $14.13 | $26.30 |
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 $6.03 Median $7.24 Typical High $8.51 | Professional | 52 · Reduced service | $6.03 | $7.24 | $8.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.88 Typical High $3.47 | Professional | 53 · Discontinued | $2.45 | $2.88 | $3.47 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $9.77 Median $11.75 Typical High $11.75 | Professional | FX · Film X-ray | $9.77 | $11.75 | $11.75 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $7.59 Typical High $15.49 | Professional | 53 · Discontinued | $6.31 | $7.59 | $15.49 |
Where New York sits
The same service costs 5.5 times more in Alaska than in Florida. 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
$13.49
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.