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 $1,584.89 Median $1,949.84 Typical High $2,511.89 | Facility | None | $1,584.89 | $1,949.84 | $2,511.89 |
Aetna Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $2,511.89 | Professional | None | $1,949.84 | $1,949.84 | $2,511.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $53.70 Median $64.57 Typical High $74.13 | Professional | None | $53.70 | $64.57 | $74.13 |
CDPHP Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,513.56 | $1,513.56 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $2,089.30 Median $3,019.95 Typical High $3,630.78 | Facility | None | $2,089.30 | $3,019.95 | $3,630.78 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $5,370.32 Typical High $5,370.32 | Professional | None | $1,047.13 | $5,370.32 | $5,370.32 |
Emblem Health Setting Facility Modifier None Typical Low $933.25 Median $1,202.26 Typical High $4,073.80 | Facility | None | $933.25 | $1,202.26 | $4,073.80 |
Emblem Health Setting Professional Modifier None Typical Low $1,000.00 Median $1,288.25 Typical High $1,949.84 | Professional | None | $1,000.00 | $1,288.25 | $1,949.84 |
Excellus BCBS Setting Professional Modifier None Typical Low $741.31 Median $891.25 Typical High $1,380.38 | Professional | None | $741.31 | $891.25 | $1,380.38 |
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 $2,511.89 Median $2,951.21 Typical High $3,630.78 | Facility | None | $2,511.89 | $2,951.21 | $3,630.78 |
United Setting Professional Modifier None Typical Low $676.08 Median $1,000.00 Typical High $2,630.27 | Professional | None | $676.08 | $1,000.00 | $2,630.27 |
Univera Setting Facility Modifier None Typical Low $851.14 Median $977.24 Typical High $1,230.27 | Facility | None | $851.14 | $977.24 | $1,230.27 |
Univera Setting Professional Modifier None Typical Low $741.31 Median $891.25 Typical High $1,380.38 | Professional | None | $741.31 | $891.25 | $1,380.38 |
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 $501.19 Median $977.24 Typical High $977.24 | Professional | 52 · Reduced service | $501.19 | $977.24 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $223.87 Typical High $501.19 | Professional | 53 · Discontinued | $199.53 | $223.87 | $501.19 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $794.33 Median $1,584.89 Typical High $1,584.89 | Professional | FX · Film X-ray | $794.33 | $1,584.89 | $1,584.89 |
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
$67.61
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.