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 $309.03 Median $524.81 Typical High $1,445.44 | Facility | None | $309.03 | $524.81 | $1,445.44 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $66.07 Median $79.43 Typical High $114.82 | Facility | 26 · Professional part | $66.07 | $79.43 | $114.82 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $239.88 Median $295.12 Typical High $426.58 | Facility | TC · Technical part | $239.88 | $295.12 | $426.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $309.03 Typical High $575.44 | Professional | None (both parts) | $288.40 | $309.03 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $67.61 Typical High $125.89 | Professional | 26 · Professional part | $66.07 | $67.61 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $245.47 Typical High $426.58 | Professional | TC · Technical part | $223.87 | $245.47 | $426.58 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $223.87 Median $281.84 Typical High $281.84 | Professional | None (both parts) | $223.87 | $281.84 | $281.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $75.86 | Professional | 26 · Professional part | $47.86 | $47.86 | $75.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $371.54 Median $524.81 Typical High $933.25 | Facility | None | $371.54 | $524.81 | $933.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $281.84 Median $371.54 Typical High $524.81 | Professional | None (both parts) | $281.84 | $371.54 | $524.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $63.10 Typical High $91.20 | Professional | 26 · Professional part | $53.70 | $63.10 | $91.20 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $426.58 Median $562.34 Typical High $794.33 | Professional | 50 · Both sides | $426.58 | $562.34 | $794.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $309.03 Typical High $446.68 | Professional | TC · Technical part | $223.87 | $309.03 | $446.68 |
CareSource Setting Facility Modifier None Typical Low $66.07 Median $229.09 Typical High $295.12 | Facility | None | $66.07 | $229.09 | $295.12 |
CareSource Setting Professional Modifier None (both parts) Typical Low $60.26 Median $218.78 Typical High $346.74 | Professional | None (both parts) | $60.26 | $218.78 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $933.25 Typical High $933.25 | Facility | None | $588.84 | $933.25 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $537.03 Typical High $870.96 | Professional | None (both parts) | $309.03 | $537.03 | $870.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $75.86 Typical High $147.91 | Professional | 26 · Professional part | $61.66 | $75.86 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $436.52 Typical High $660.69 | Professional | TC · Technical part | $239.88 | $436.52 | $660.69 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $489.78 Median $912.01 Typical High $2,089.30 | Facility | None | $489.78 | $912.01 | $2,089.30 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $331.13 Median $436.52 Typical High $588.84 | Professional | None (both parts) | $331.13 | $436.52 | $588.84 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $89.13 Typical High $120.23 | Professional | 26 · Professional part | $72.44 | $89.13 | $120.23 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $346.74 Typical High $478.63 | Professional | TC · Technical part | $263.03 | $346.74 | $478.63 |
United Setting Professional Modifier None (both parts) Typical Low $309.03 Median $457.09 Typical High $794.33 | Professional | None (both parts) | $309.03 | $457.09 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $72.44 Typical High $151.36 | Professional | 26 · Professional part | $57.54 | $72.44 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $371.54 Typical High $660.69 | Professional | TC · Technical part | $251.19 | $371.54 | $660.69 |
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 $144.54 Median $147.91 Typical High $213.80 | Professional | 52 · Reduced service | $144.54 | $147.91 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $58.88 Typical High $85.11 | Professional | 53 · Discontinued | $57.54 | $58.88 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $229.09 Median $251.19 Typical High $338.84 | Professional | FX · Film X-ray | $229.09 | $251.19 | $338.84 |
Where Indiana sits
The same service costs 5.1 times more in Wyoming than in Utah. 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
$372
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.