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 $1,380.38 Median $1,584.89 Typical High $1,949.84 | Facility | None | $1,380.38 | $1,584.89 | $1,949.84 |
Aetna Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,949.84 | $1,949.84 | $1,949.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $45.71 Median $54.95 Typical High $61.66 | Professional | None | $45.71 | $54.95 | $61.66 |
CDPHP Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,318.26 | $1,318.26 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $1,479.11 Median $2,630.27 Typical High $3,090.30 | Facility | None | $1,479.11 | $2,630.27 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $4,570.88 Typical High $4,570.88 | Professional | None | $912.01 | $4,570.88 | $4,570.88 |
Emblem Health Setting Facility Modifier None Typical Low $776.25 Median $1,000.00 Typical High $3,388.44 | Facility | None | $776.25 | $1,000.00 | $3,388.44 |
Emblem Health Setting Professional Modifier None Typical Low $954.99 Median $1,071.52 Typical High $1,621.81 | Professional | None | $954.99 | $1,071.52 | $1,621.81 |
Excellus BCBS Setting Professional Modifier None Typical Low $616.60 Median $724.44 Typical High $1,122.02 | Professional | None | $616.60 | $724.44 | $1,122.02 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $154.88 Typical High $257.04 | Facility | None | $107.15 | $154.88 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $3,467.37 | Professional | None | $2,818.38 | $2,818.38 | $3,467.37 |
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 $562.34 Median $812.83 Typical High $2,137.96 | Professional | None | $562.34 | $812.83 | $2,137.96 |
Univera Setting Facility Modifier None Typical Low $691.83 Median $794.33 Typical High $1,047.13 | Facility | None | $691.83 | $794.33 | $1,047.13 |
Univera Setting Professional Modifier None Typical Low $616.60 Median $724.44 Typical High $1,122.02 | Professional | None | $616.60 | $724.44 | $1,122.02 |
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 $426.58 Median $977.24 Typical High $977.24 | Professional | 52 · Reduced service | $426.58 | $977.24 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $389.05 Typical High $389.05 | Professional | 53 · Discontinued | $169.82 | $389.05 | $389.05 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $676.08 Median $1,548.82 Typical High $1,548.82 | Professional | FX · Film X-ray | $676.08 | $1,548.82 | $1,548.82 |
Where New York sits
The same service costs 64.6 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
$57.54
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.