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 $208.93 Median $524.81 Typical High $707.95 | Facility | None | $208.93 | $524.81 | $707.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $208.93 Typical High $257.04 | Professional | None (both parts) | $194.98 | $208.93 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $13.18 Typical High $14.13 | Professional | 26 · Professional part | $12.30 | $13.18 | $14.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $204.17 Typical High $229.09 | Professional | TC · Technical part | $194.98 | $204.17 | $229.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $58.88 Median $112.20 Typical High $977.24 | Facility | None | $58.88 | $112.20 | $977.24 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $50.12 Median $58.88 Typical High $213.80 | Professional | None (both parts) | $50.12 | $58.88 | $213.80 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $19.50 Typical High $26.30 | Professional | 26 · Professional part | $13.49 | $19.50 | $26.30 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $38.90 Typical High $213.80 | Professional | TC · Technical part | $33.11 | $38.90 | $213.80 |
CareSource Setting Facility Modifier None Typical Low $14.79 Median $33.11 Typical High $47.86 | Facility | None | $14.79 | $33.11 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $77.62 Typical High $954.99 | Facility | None | $47.86 | $77.62 | $954.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $58.88 Typical High $83.18 | Professional | None (both parts) | $44.67 | $58.88 | $83.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $16.98 Typical High $25.70 | Professional | 26 · Professional part | $13.80 | $16.98 | $25.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $41.69 Typical High $54.95 | Professional | TC · Technical part | $31.62 | $41.69 | $54.95 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $141.25 Median $912.01 Typical High $2,137.96 | Facility | None | $141.25 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $48.98 Median $64.57 Typical High $83.18 | Professional | None (both parts) | $48.98 | $64.57 | $83.18 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $17.78 Typical High $26.92 | Professional | 26 · Professional part | $14.79 | $17.78 | $26.92 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $46.77 Typical High $60.26 | Professional | TC · Technical part | $38.90 | $46.77 | $60.26 |
United Setting Professional Modifier None (both parts) Typical Low $50.12 Median $239.88 Typical High $436.52 | Professional | None (both parts) | $50.12 | $239.88 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $16.22 Typical High $28.18 | Professional | 26 · Professional part | $12.88 | $16.22 | $28.18 |
United Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $223.87 Typical High $407.38 | Professional | TC · Technical part | $35.48 | $223.87 | $407.38 |
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 $97.72 Median $104.71 Typical High $128.82 | Professional | 52 · Reduced service | $97.72 | $104.71 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $41.69 Typical High $51.29 | Professional | 53 · Discontinued | $38.90 | $41.69 | $51.29 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $154.88 Median $177.83 Typical High $181.97 | Professional | FX · Film X-ray | $154.88 | $177.83 | $181.97 |
Where Indiana sits
The same service costs 6.6 times more in Colorado than in Michigan. 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· 44th of 51
$72.44
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.