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 $151.36 Median $1,659.59 Typical High $2,290.87 | Facility | None | $151.36 | $1,659.59 | $2,290.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $151.36 Typical High $162.18 | Professional | None (both parts) | $138.04 | $151.36 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $52.48 Typical High $54.95 | Professional | 26 · Professional part | $48.98 | $52.48 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $100.00 Typical High $107.15 | Professional | TC · Technical part | $87.10 | $100.00 | $107.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $77.62 Median $1,698.24 Typical High $2,818.38 | Facility | None | $77.62 | $1,698.24 | $2,818.38 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $107.15 Median $125.89 Typical High $181.97 | Professional | None (both parts) | $107.15 | $125.89 | $181.97 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $77.62 Typical High $104.71 | Professional | 26 · Professional part | $52.48 | $77.62 | $104.71 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $48.98 Typical High $97.72 | Professional | TC · Technical part | $41.69 | $48.98 | $97.72 |
CareSource Setting Facility Modifier None Typical Low $57.54 Median $102.33 Typical High $158.49 | Facility | None | $57.54 | $102.33 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $1,698.24 Typical High $2,754.23 | Facility | None | $263.03 | $1,698.24 | $2,754.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $158.49 Typical High $309.03 | Professional | None (both parts) | $123.03 | $158.49 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $67.61 Typical High $104.71 | Professional | 26 · Professional part | $53.70 | $67.61 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $91.20 Typical High $199.53 | Professional | TC · Technical part | $58.88 | $91.20 | $199.53 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $457.09 Median $912.01 Typical High $2,137.96 | Facility | None | $457.09 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $158.49 Median $199.53 Typical High $288.40 | Professional | None (both parts) | $158.49 | $199.53 | $288.40 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $69.18 Typical High $107.15 | Professional | 26 · Professional part | $56.23 | $69.18 | $107.15 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $131.83 Typical High $199.53 | Professional | TC · Technical part | $100.00 | $131.83 | $199.53 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $165.96 Typical High $295.12 | Professional | None (both parts) | $128.82 | $165.96 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $64.57 Typical High $107.15 | Professional | 26 · Professional part | $51.29 | $64.57 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $102.33 Typical High $190.55 | Professional | TC · Technical part | $72.44 | $102.33 | $190.55 |
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 $69.18 Median $75.86 Typical High $79.43 | Professional | 52 · Reduced service | $69.18 | $75.86 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $30.20 Typical High $32.36 | Professional | 53 · Discontinued | $27.54 | $30.20 | $32.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $104.71 Median $123.03 Typical High $128.82 | Professional | FX · Film X-ray | $104.71 | $123.03 | $128.82 |
Where Indiana sits
The same service costs 4.3 times more in Alaska than in Texas. 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.
Indiana· 45th of 51
$151
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.