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 $416.87 Typical High $1,659.59 | Facility | None | $309.03 | $416.87 | $1,659.59 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $91.20 Median $109.65 Typical High $141.25 | Facility | 26 · Professional part | $91.20 | $109.65 | $141.25 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $173.78 Median $218.78 Typical High $316.23 | Facility | TC · Technical part | $173.78 | $218.78 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $275.42 Typical High $457.09 | Professional | None (both parts) | $263.03 | $275.42 | $457.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $91.20 Typical High $125.89 | Professional | 26 · Professional part | $87.10 | $91.20 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $181.97 Typical High $309.03 | Professional | TC · Technical part | $169.82 | $181.97 | $309.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $120.23 Typical High $125.89 | Professional | 26 · Professional part | $83.18 | $120.23 | $125.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $346.74 Median $724.44 Typical High $1,148.15 | Facility | None | $346.74 | $724.44 | $1,148.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $251.19 Median $346.74 Typical High $489.78 | Professional | None (both parts) | $251.19 | $346.74 | $489.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $79.43 Typical High $117.49 | Professional | 26 · Professional part | $67.61 | $79.43 | $117.49 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $371.54 Median $512.86 Typical High $724.44 | Professional | 50 · Both sides | $371.54 | $512.86 | $724.44 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $263.03 Typical High $371.54 | Professional | TC · Technical part | $165.96 | $263.03 | $371.54 |
CareSource Setting Facility Modifier None Typical Low $91.20 Median $223.87 Typical High $316.23 | Facility | None | $91.20 | $223.87 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $724.44 Typical High $741.31 | Facility | None | $588.84 | $724.44 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $436.52 Typical High $812.83 | Professional | None (both parts) | $316.23 | $436.52 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $104.71 Typical High $199.53 | Professional | 26 · Professional part | $83.18 | $104.71 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $331.13 Typical High $575.44 | Professional | TC · Technical part | $234.42 | $331.13 | $575.44 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $891.25 Median $933.25 Typical High $2,137.96 | Facility | None | $891.25 | $933.25 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $354.81 Median $457.09 Typical High $616.60 | Professional | None (both parts) | $354.81 | $457.09 | $616.60 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $125.89 Typical High $165.96 | Professional | 26 · Professional part | $100.00 | $125.89 | $165.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $338.84 Typical High $457.09 | Professional | TC · Technical part | $263.03 | $338.84 | $457.09 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $457.09 Typical High $741.31 | Professional | None (both parts) | $316.23 | $457.09 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $100.00 Typical High $190.55 | Professional | 26 · Professional part | $81.28 | $100.00 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $331.13 Typical High $602.56 | Professional | TC · Technical part | $229.09 | $331.13 | $602.56 |
4 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 $131.83 Median $131.83 Typical High $169.82 | Professional | 52 · Reduced service | $131.83 | $131.83 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $52.48 Typical High $67.61 | Professional | 53 · Discontinued | $52.48 | $52.48 | $67.61 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $213.80 Median $239.88 Typical High $275.42 | Professional | CT · Older CT scanner | $213.80 | $239.88 | $275.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $199.53 Median $223.87 Typical High $257.04 | Professional | FX · Film X-ray | $199.53 | $223.87 | $257.04 |
Where Indiana sits
The same service costs 6.2 times more in Alaska 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· 41st of 51
$347
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.