How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $34.67 Median $251.19 Typical High $316.23 | Facility | None | $34.67 | $251.19 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $34.67 Typical High $37.15 | Professional | None (both parts) | $32.36 | $34.67 | $37.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.13 Typical High $8.51 | Professional | 26 · Professional part | $7.59 | $8.13 | $8.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $26.30 Typical High $28.84 | Professional | TC · Technical part | $23.99 | $26.30 | $28.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $34.67 Median $138.04 Typical High $426.58 | Facility | None | $34.67 | $138.04 | $426.58 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $28.84 Median $34.67 Typical High $47.86 | Professional | None (both parts) | $28.84 | $34.67 | $47.86 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $12.30 Typical High $16.60 | Professional | 26 · Professional part | $8.32 | $12.30 | $16.60 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $43.65 Median $51.29 Typical High $72.44 | Professional | 50 · Both sides | $43.65 | $51.29 | $72.44 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $21.88 Typical High $33.11 | Professional | TC · Technical part | $18.62 | $21.88 | $33.11 |
CareSource Setting Facility Modifier None Typical Low $8.91 Median $28.18 Typical High $37.15 | Facility | None | $8.91 | $28.18 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $91.20 Typical High $467.74 | Facility | None | $67.61 | $91.20 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $38.90 Typical High $66.07 | Professional | None (both parts) | $33.11 | $38.90 | $66.07 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.47 Typical High $15.85 | Professional | 26 · Professional part | $8.32 | $10.47 | $15.85 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $28.18 Typical High $47.86 | Professional | TC · Technical part | $23.99 | $28.18 | $47.86 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $114.82 | Facility | None | $109.65 | $109.65 | $114.82 |
United Setting Professional Modifier None (both parts) Typical Low $30.20 Median $37.15 Typical High $66.07 | Professional | None (both parts) | $30.20 | $37.15 | $66.07 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.77 Typical High $17.38 | Professional | 26 · Professional part | $7.94 | $9.77 | $17.38 |
United Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $27.54 Typical High $47.86 | Professional | TC · Technical part | $22.39 | $27.54 | $47.86 |
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 $15.85 Median $17.38 Typical High $18.62 | Professional | 52 · Reduced service | $15.85 | $17.38 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.92 Typical High $7.41 | Professional | 53 · Discontinued | $6.46 | $6.92 | $7.41 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $23.99 Median $28.18 Typical High $29.51 | Professional | FX · Film X-ray | $23.99 | $28.18 | $29.51 |
Where Indiana sits
The same service costs 3.9 times more in Alaska than in Florida. 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
$34.67
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.