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 $15.49 Median $40.74 Typical High $18,197.01 | Facility | None | $15.49 | $40.74 | $18,197.01 |
Aetna Setting Professional Modifier None Typical Low $15.49 Median $19.50 Typical High $38.02 | Professional | None | $15.49 | $19.50 | $38.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $41.69 Median $83.18 Typical High $93.33 | Professional | None | $41.69 | $83.18 | $93.33 |
CDPHP Setting Professional Modifier None Typical Low $21.38 Median $56.23 Typical High $72.44 | Professional | None | $21.38 | $56.23 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $295.12 Typical High $331.13 | Facility | None | $28.84 | $295.12 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $20.89 Typical High $151.36 | Professional | None | $15.14 | $20.89 | $151.36 |
Emblem Health Setting Facility Modifier None Typical Low $17.38 Median $22.91 Typical High $77.62 | Facility | None | $17.38 | $22.91 | $77.62 |
Emblem Health Setting Professional Modifier None Typical Low $21.88 Median $24.55 Typical High $37.15 | Professional | None | $21.88 | $24.55 | $37.15 |
Excellus BCBS Setting Professional Modifier None Typical Low $16.60 Median $17.78 Typical High $32.36 | Professional | None | $16.60 | $17.78 | $32.36 |
MVP Health Care Setting Facility Modifier None Typical Low $32.36 Median $107.15 Typical High $257.04 | Facility | None | $32.36 | $107.15 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $20.89 Median $89.13 Typical High $141.25 | Professional | None | $20.89 | $89.13 | $141.25 |
United Setting Professional Modifier None Typical Low $13.18 Median $19.05 Typical High $64.57 | Professional | None | $13.18 | $19.05 | $64.57 |
Univera Setting Facility Modifier None Typical Low $16.60 Median $19.05 Typical High $204.17 | Facility | None | $16.60 | $19.05 | $204.17 |
Univera Setting Professional Modifier None Typical Low $14.79 Median $17.78 Typical High $35.48 | Professional | None | $14.79 | $17.78 | $35.48 |
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 $7.76 Median $9.77 Typical High $18.62 | Professional | 52 · Reduced service | $7.76 | $9.77 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $3.89 Typical High $7.59 | Professional | 53 · Discontinued | $3.09 | $3.89 | $7.59 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $12.30 Median $15.85 Typical High $15.85 | Professional | FX · Film X-ray | $12.30 | $15.85 | $15.85 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $10.23 Typical High $18.20 | Professional | 53 · Discontinued | $8.51 | $10.23 | $18.20 |
Where New York sits
The same service costs 5.5 times more in Alabama than in Pennsylvania. 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· 5th of 51
$74.13
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.