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 $323.59 Median $549.54 Typical High $1,949.84 | Facility | None | $323.59 | $549.54 | $1,949.84 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $79.43 Median $95.50 Typical High $123.03 | Facility | 26 · Professional part | $79.43 | $95.50 | $123.03 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $239.88 Median $288.40 Typical High $416.87 | Facility | TC · Technical part | $239.88 | $288.40 | $416.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $346.74 Typical High $575.44 | Professional | None (both parts) | $323.59 | $346.74 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $81.28 Typical High $141.25 | Professional | 26 · Professional part | $77.62 | $81.28 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $257.04 Typical High $380.19 | Professional | TC · Technical part | $239.88 | $257.04 | $380.19 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $234.42 Median $245.47 Typical High $602.56 | Professional | None (both parts) | $234.42 | $245.47 | $602.56 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $72.44 Typical High $109.65 | Professional | 26 · Professional part | $72.44 | $72.44 | $109.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $524.81 Median $933.25 Typical High $1,548.82 | Facility | None | $524.81 | $933.25 | $1,548.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $295.12 Median $407.38 Typical High $575.44 | Professional | None (both parts) | $295.12 | $407.38 | $575.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $74.13 Typical High $109.65 | Professional | 26 · Professional part | $63.10 | $74.13 | $109.65 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $436.52 Median $616.60 Typical High $870.96 | Professional | 50 · Both sides | $436.52 | $616.60 | $870.96 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $338.84 Typical High $478.63 | Professional | TC · Technical part | $218.78 | $338.84 | $478.63 |
CareSource Setting Facility Modifier None Typical Low $79.43 Median $223.87 Typical High $302.00 | Facility | None | $79.43 | $223.87 | $302.00 |
CareSource Setting Professional Modifier None (both parts) Typical Low $70.79 Median $213.80 Typical High $354.81 | Professional | None (both parts) | $70.79 | $213.80 | $354.81 |
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 $316.23 Median $588.84 Typical High $977.24 | Professional | None (both parts) | $316.23 | $588.84 | $977.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $91.20 Typical High $173.78 | Professional | 26 · Professional part | $74.13 | $91.20 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $489.78 Typical High $691.83 | Professional | TC · Technical part | $239.88 | $489.78 | $691.83 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $870.96 Median $933.25 Typical High $2,089.30 | Facility | None | $870.96 | $933.25 | $2,089.30 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $338.84 Median $446.68 Typical High $616.60 | Professional | None (both parts) | $338.84 | $446.68 | $616.60 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $107.15 Typical High $144.54 | Professional | 26 · Professional part | $87.10 | $107.15 | $144.54 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $338.84 Typical High $478.63 | Professional | TC · Technical part | $263.03 | $338.84 | $478.63 |
United Setting Professional Modifier None (both parts) Typical Low $331.13 Median $489.78 Typical High $870.96 | Professional | None (both parts) | $331.13 | $489.78 | $870.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $87.10 Typical High $181.97 | Professional | 26 · Professional part | $70.79 | $87.10 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $380.19 Typical High $724.44 | Professional | TC · Technical part | $251.19 | $380.19 | $724.44 |
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 $162.18 Median $162.18 Typical High $229.09 | Professional | 52 · Reduced service | $162.18 | $162.18 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $64.57 Typical High $91.20 | Professional | 53 · Discontinued | $64.57 | $64.57 | $91.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $239.88 Median $275.42 Typical High $346.74 | Professional | FX · Film X-ray | $239.88 | $275.42 | $346.74 |
Where Indiana sits
The same service costs 5.4 times more in Wyoming than in Texas. 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· 40th of 51
$407
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.