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 $549.54 Median $1,122.02 Typical High $2,137.96 | Facility | None | $549.54 | $1,122.02 | $2,137.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $537.03 Median $562.34 Typical High $758.58 | Professional | None (both parts) | $537.03 | $562.34 | $758.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $151.36 Typical High $218.78 | Professional | 26 · Professional part | $151.36 | $151.36 | $218.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $478.63 Typical High $691.83 | Professional | TC · Technical part | $478.63 | $478.63 | $691.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $478.63 Median $489.78 Typical High $851.14 | Facility | None | $478.63 | $489.78 | $851.14 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $407.38 Median $489.78 Typical High $660.69 | Professional | None (both parts) | $407.38 | $489.78 | $660.69 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $181.97 Typical High $245.47 | Professional | 26 · Professional part | $144.54 | $181.97 | $245.47 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $302.00 Typical High $457.09 | Professional | TC · Technical part | $257.04 | $302.00 | $457.09 |
CareSource Setting Facility Modifier None Typical Low $154.88 Median $1,148.15 Typical High $1,288.25 | Facility | None | $154.88 | $1,148.15 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $3,715.35 Typical High $3,715.35 | Facility | None | $363.08 | $3,715.35 | $3,715.35 |
Cigna Setting Professional Modifier None (both parts) Typical Low $776.25 Median $1,288.25 Typical High $2,089.30 | Professional | None (both parts) | $776.25 | $1,288.25 | $2,089.30 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $177.83 Typical High $281.84 | Professional | 26 · Professional part | $144.54 | $177.83 | $281.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $1,202.26 Typical High $1,819.70 | Professional | TC · Technical part | $616.60 | $1,202.26 | $1,819.70 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $954.99 Typical High $2,187.76 | Facility | None | $912.01 | $954.99 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $54.95 Median $234.42 Typical High $275.42 | Professional | None (both parts) | $54.95 | $234.42 | $275.42 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $208.93 Typical High $288.40 | Professional | 26 · Professional part | $165.96 | $208.93 | $288.40 |
United Setting Professional Modifier None (both parts) Typical Low $363.08 Median $630.96 Typical High $1,348.96 | Professional | None (both parts) | $363.08 | $630.96 | $1,348.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $173.78 Typical High $346.74 | Professional | 26 · Professional part | $134.90 | $173.78 | $346.74 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $457.09 Typical High $1,071.52 | Professional | TC · Technical part | $213.80 | $457.09 | $1,071.52 |
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 $263.03 Median $281.84 Typical High $380.19 | Professional | 52 · Reduced service | $263.03 | $281.84 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $112.20 Typical High $151.36 | Professional | 53 · Discontinued | $107.15 | $112.20 | $151.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $416.87 Median $478.63 Typical High $562.34 | Professional | FX · Film X-ray | $416.87 | $478.63 | $562.34 |
Where Indiana sits
The same service costs 12.3 times more in Wyoming than in Hawaii. 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
$537
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.