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 $30.90 Median $44.67 Typical High $186.21 | Facility | None | $30.90 | $44.67 | $186.21 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.76 Median $9.77 Typical High $13.49 | Facility | 26 · Professional part | $7.76 | $9.77 | $13.49 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $23.44 Median $29.51 Typical High $40.74 | Facility | TC · Technical part | $23.44 | $29.51 | $40.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $31.62 Typical High $48.98 | Professional | None (both parts) | $27.54 | $31.62 | $48.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.76 Typical High $12.02 | Professional | 26 · Professional part | $7.08 | $7.76 | $12.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $23.44 Typical High $34.67 | Professional | TC · Technical part | $20.42 | $23.44 | $34.67 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $21.88 Median $26.92 Typical High $47.86 | Professional | None (both parts) | $21.88 | $26.92 | $47.86 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $6.46 Typical High $12.02 | Professional | 26 · Professional part | $6.46 | $6.46 | $12.02 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $30.90 Typical High $42.66 | Professional | TC · Technical part | $21.88 | $30.90 | $42.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $28.18 Median $186.21 Typical High $269.15 | Facility | None | $28.18 | $186.21 | $269.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $14.79 Median $28.18 Typical High $40.74 | Professional | None (both parts) | $14.79 | $28.18 | $40.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $10.96 Typical High $14.79 | Professional | 26 · Professional part | $7.94 | $10.96 | $14.79 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $36.31 Median $42.66 Typical High $64.57 | Professional | 50 · Both sides | $36.31 | $42.66 | $64.57 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $17.38 Typical High $27.54 | Professional | TC · Technical part | $14.79 | $17.38 | $27.54 |
CareSource Setting Facility Modifier None Typical Low $8.32 Median $23.99 Typical High $32.36 | Facility | None | $8.32 | $23.99 | $32.36 |
CareSource Setting Professional Modifier None (both parts) Typical Low $7.41 Median $22.91 Typical High $38.02 | Professional | None (both parts) | $7.41 | $22.91 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $199.53 Typical High $251.19 | Facility | None | $63.10 | $199.53 | $251.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $34.67 Typical High $63.10 | Professional | None (both parts) | $28.18 | $34.67 | $63.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $10.00 Typical High $14.79 | Professional | 26 · Professional part | $7.59 | $10.00 | $14.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $22.91 Typical High $48.98 | Professional | TC · Technical part | $19.95 | $22.91 | $48.98 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $95.50 Median $912.01 Typical High $2,137.96 | Facility | None | $95.50 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $33.88 Median $40.74 Typical High $61.66 | Professional | None (both parts) | $33.88 | $40.74 | $61.66 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $10.00 Typical High $15.49 | Professional | 26 · Professional part | $8.51 | $10.00 | $15.49 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $30.90 Typical High $46.77 | Professional | TC · Technical part | $25.70 | $30.90 | $46.77 |
United Setting Professional Modifier None (both parts) Typical Low $26.30 Median $33.11 Typical High $61.66 | Professional | None (both parts) | $26.30 | $33.11 | $61.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $9.12 Typical High $15.14 | Professional | 26 · Professional part | $7.41 | $9.12 | $15.14 |
United Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $24.55 Typical High $44.67 | Professional | TC · Technical part | $18.62 | $24.55 | $44.67 |
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 $14.13 Median $15.14 Typical High $16.22 | Professional | 52 · Reduced service | $14.13 | $15.14 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $6.03 Typical High $6.46 | Professional | 53 · Discontinued | $5.62 | $6.03 | $6.46 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $20.89 Median $25.12 Typical High $26.30 | Professional | FX · Film X-ray | $20.89 | $25.12 | $26.30 |
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· 46th of 51
$30.20
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.