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 $416.87 Median $1,000.00 Typical High $81,283.05 | Facility | None | $416.87 | $1,000.00 | $81,283.05 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $524.81 Typical High $977.24 | Professional | None | $407.38 | $524.81 | $977.24 |
Anthem BCBS Setting Professional Modifier None Typical Low $331.13 Median $389.05 Typical High $776.25 | Professional | None | $331.13 | $389.05 | $776.25 |
CDPHP Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None | $602.56 | $602.56 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $3,090.30 Typical High $3,630.78 | Facility | None | $707.95 | $3,090.30 | $3,630.78 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $467.74 Typical High $1,412.54 | Professional | None | $380.19 | $467.74 | $1,412.54 |
Emblem Health Setting Facility Modifier None Typical Low $398.11 Median $489.78 Typical High $1,659.59 | Facility | None | $398.11 | $489.78 | $1,659.59 |
Emblem Health Setting Professional Modifier None Typical Low $446.68 Median $549.54 Typical High $794.33 | Professional | None | $446.68 | $549.54 | $794.33 |
Excellus BCBS Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Excellus BCBS Setting Professional Modifier None Typical Low $331.13 Median $407.38 Typical High $549.54 | Professional | None | $331.13 | $407.38 | $549.54 |
Highmark BCBS Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $512.86 | Professional | None | $478.63 | $478.63 | $512.86 |
MVP Health Care Setting Facility Modifier None Typical Low $218.78 Median $426.58 Typical High $2,187.76 | Facility | None | $218.78 | $426.58 | $2,187.76 |
MVP Health Care Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $1,023.29 | Professional | None | $549.54 | $549.54 | $1,023.29 |
United Setting Professional Modifier None Typical Low $331.13 Median $457.09 Typical High $1,230.27 | Professional | None | $331.13 | $457.09 | $1,230.27 |
Univera Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $1,174.90 | Facility | None | $100.00 | $100.00 | $1,174.90 |
Univera Setting Professional Modifier None Typical Low $331.13 Median $407.38 Typical High $630.96 | Professional | None | $331.13 | $407.38 | $630.96 |
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 $208.93 Median $263.03 Typical High $263.03 | Professional | 52 · Reduced service | $208.93 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $104.71 Typical High $104.71 | Professional | 53 · Discontinued | $83.18 | $104.71 | $104.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $338.84 Median $416.87 Typical High $416.87 | Professional | FX · Film X-ray | $338.84 | $416.87 | $416.87 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $281.84 Typical High $436.52 | Professional | 53 · Discontinued | $234.42 | $281.84 | $436.52 |
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
$407
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.