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 $2,187.76 Typical High $2,344.23 | Facility | None | $1,584.89 | $2,187.76 | $2,344.23 |
Aetna Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,344.23 | Professional | None | $2,187.76 | $2,187.76 | $2,344.23 |
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 $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,698.24 | $1,698.24 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $2,089.30 Median $3,388.44 Typical High $3,981.07 | Facility | None | $2,089.30 | $3,388.44 | $3,981.07 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $5,888.44 Typical High $5,888.44 | Professional | None | $1,174.90 | $5,888.44 | $5,888.44 |
Emblem Health Setting Facility Modifier None Typical Low $1,000.00 Median $1,288.25 Typical High $4,365.16 | Facility | None | $1,000.00 | $1,288.25 | $4,365.16 |
Emblem Health Setting Professional Modifier None Typical Low $1,202.26 Median $1,380.38 Typical High $2,089.30 | Professional | None | $1,202.26 | $1,380.38 | $2,089.30 |
Excellus BCBS Setting Professional Modifier None Typical Low $794.33 Median $933.25 Typical High $1,479.11 | Professional | None | $794.33 | $933.25 | $1,479.11 |
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 $758.58 Median $1,071.52 Typical High $2,754.23 | Professional | None | $758.58 | $1,071.52 | $2,754.23 |
Univera Setting Facility Modifier None Typical Low $891.25 Median $1,047.13 Typical High $1,318.26 | Facility | None | $891.25 | $1,047.13 | $1,318.26 |
Univera Setting Professional Modifier None Typical Low $794.33 Median $933.25 Typical High $1,479.11 | Professional | None | $794.33 | $933.25 | $1,479.11 |
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 $549.54 Median $1,096.48 Typical High $1,096.48 | Professional | 52 · Reduced service | $549.54 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $245.47 Typical High $467.74 | Professional | 53 · Discontinued | $218.78 | $245.47 | $467.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $891.25 Median $1,737.80 Typical High $1,737.80 | Professional | FX · Film X-ray | $891.25 | $1,737.80 | $1,737.80 |
Where New York sits
The same service costs 70.8 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.