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 $75.86 Median $524.81 Typical High $707.95 | Facility | None | $75.86 | $524.81 | $707.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $75.86 Typical High $81.28 | Professional | None (both parts) | $69.18 | $75.86 | $81.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $23.99 Typical High $25.12 | Professional | 26 · Professional part | $22.91 | $23.99 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $52.48 Typical High $56.23 | Professional | TC · Technical part | $45.71 | $52.48 | $56.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $102.33 Median $288.40 Typical High $977.24 | Facility | None | $102.33 | $288.40 | $977.24 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $74.13 Median $102.33 Typical High $144.54 | Professional | None (both parts) | $74.13 | $102.33 | $144.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $35.48 Typical High $47.86 | Professional | 26 · Professional part | $23.99 | $35.48 | $47.86 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $112.20 Median $154.88 Typical High $218.78 | Professional | 50 · Both sides | $112.20 | $154.88 | $218.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $67.61 Typical High $95.50 | Professional | TC · Technical part | $50.12 | $67.61 | $95.50 |
CareSource Setting Facility Modifier None Typical Low $26.30 Median $52.48 Typical High $79.43 | Facility | None | $26.30 | $52.48 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $173.78 Typical High $954.99 | Facility | None | $123.03 | $173.78 | $954.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $120.23 Typical High $173.78 | Professional | None (both parts) | $75.86 | $120.23 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $30.90 Typical High $48.98 | Professional | 26 · Professional part | $24.55 | $30.90 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $79.43 Typical High $112.20 | Professional | TC · Technical part | $50.12 | $79.43 | $112.20 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $229.09 Median $912.01 Typical High $2,137.96 | Facility | None | $229.09 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $79.43 Median $102.33 Typical High $154.88 | Professional | None (both parts) | $79.43 | $102.33 | $154.88 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $33.11 Typical High $50.12 | Professional | 26 · Professional part | $26.92 | $33.11 | $50.12 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $69.18 Typical High $107.15 | Professional | TC · Technical part | $54.95 | $69.18 | $107.15 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $91.20 Typical High $147.91 | Professional | None (both parts) | $70.79 | $91.20 | $147.91 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $29.51 Typical High $51.29 | Professional | 26 · Professional part | $23.99 | $29.51 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $60.26 Typical High $104.71 | Professional | TC · Technical part | $45.71 | $60.26 | $104.71 |
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 $34.67 Median $38.02 Typical High $40.74 | Professional | 52 · Reduced service | $34.67 | $38.02 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $15.14 Typical High $16.22 | Professional | 53 · Discontinued | $13.80 | $15.14 | $16.22 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $51.29 Median $61.66 Typical High $64.57 | Professional | FX · Film X-ray | $51.29 | $61.66 | $64.57 |
Where Indiana sits
The same service costs 3.7 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· 27th of 51
$102
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.