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 $104.71 Median $257.04 Typical High $81,283.05 | Facility | None | $104.71 | $257.04 | $81,283.05 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $128.82 Typical High $194.98 | Professional | None | $100.00 | $128.82 | $194.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $79.43 Median $93.33 Typical High $194.98 | Professional | None | $79.43 | $93.33 | $194.98 |
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 $724.44 Typical High $851.14 | Facility | None | $177.83 | $724.44 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $114.82 Typical High $354.81 | Professional | None | $95.50 | $114.82 | $354.81 |
Emblem Health Setting Facility Modifier None Typical Low $100.00 Median $123.03 Typical High $426.58 | Facility | None | $100.00 | $123.03 | $426.58 |
Emblem Health Setting Professional Modifier None Typical Low $107.15 Median $138.04 Typical High $204.17 | Professional | None | $107.15 | $138.04 | $204.17 |
Excellus BCBS Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Excellus BCBS Setting Professional Modifier None Typical Low $81.28 Median $102.33 Typical High $138.04 | Professional | None | $81.28 | $102.33 | $138.04 |
Highmark BCBS Setting Professional Modifier None Typical Low $125.89 Median $194.98 Typical High $218.78 | Professional | None | $125.89 | $194.98 | $218.78 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $213.80 Typical High $562.34 | Facility | None | $107.15 | $213.80 | $562.34 |
MVP Health Care Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $257.04 | Professional | None | $120.23 | $120.23 | $257.04 |
United Setting Professional Modifier None Typical Low $83.18 Median $112.20 Typical High $295.12 | Professional | None | $83.18 | $112.20 | $295.12 |
Univera Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $269.15 | Facility | None | $75.86 | $75.86 | $269.15 |
Univera Setting Professional Modifier None Typical Low $81.28 Median $102.33 Typical High $138.04 | Professional | None | $81.28 | $102.33 | $138.04 |
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 $52.48 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service | $52.48 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $20.89 | $25.70 | $25.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $102.33 Typical High $102.33 | Professional | FX · Film X-ray | $83.18 | $102.33 | $102.33 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $69.18 Typical High $109.65 | Professional | 53 · Discontinued | $57.54 | $69.18 | $109.65 |
Where New York sits
The same service costs 4.4 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
$100
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.