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 $229.09 Median $398.11 Typical High $1,445.44 | Facility | None | $229.09 | $398.11 | $1,445.44 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $64.57 Median $77.62 Typical High $102.33 | Facility | 26 · Professional part | $64.57 | $77.62 | $102.33 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $162.18 Median $194.98 Typical High $281.84 | Facility | TC · Technical part | $162.18 | $194.98 | $281.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $245.47 Typical High $524.81 | Professional | None (both parts) | $229.09 | $245.47 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $67.61 Typical High $128.82 | Professional | 26 · Professional part | $64.57 | $67.61 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $177.83 Typical High $338.84 | Professional | TC · Technical part | $162.18 | $177.83 | $338.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $151.36 Median $165.96 Typical High $208.93 | Professional | None (both parts) | $151.36 | $165.96 | $208.93 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $60.26 Typical High $89.13 | Professional | 26 · Professional part | $57.54 | $60.26 | $89.13 |
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 $208.93 Median $371.54 Typical High $501.19 | Professional | None (both parts) | $208.93 | $371.54 | $501.19 |
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 $309.03 Median $562.34 Typical High $758.58 | Professional | 50 · Both sides | $309.03 | $562.34 | $758.58 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $309.03 Typical High $436.52 | Professional | TC · Technical part | $147.91 | $309.03 | $436.52 |
CareSource Setting Facility Modifier None Typical Low $66.07 Median $151.36 Typical High $218.78 | Facility | None | $66.07 | $151.36 | $218.78 |
CareSource Setting Professional Modifier None (both parts) Typical Low $58.88 Median $144.54 Typical High $257.04 | Professional | None (both parts) | $58.88 | $144.54 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $933.25 Typical High $933.25 | Facility | None | $398.11 | $933.25 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $501.19 Typical High $794.33 | Professional | None (both parts) | $229.09 | $501.19 | $794.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $75.86 Typical High $144.54 | Professional | 26 · Professional part | $60.26 | $75.86 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $426.58 Typical High $602.56 | Professional | TC · Technical part | $158.49 | $426.58 | $602.56 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $489.78 Median $691.83 Typical High $2,089.30 | Facility | None | $489.78 | $691.83 | $2,089.30 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $245.47 Median $323.59 Typical High $457.09 | Professional | None (both parts) | $245.47 | $323.59 | $457.09 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $89.13 Typical High $120.23 | Professional | 26 · Professional part | $70.79 | $89.13 | $120.23 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $229.09 Typical High $338.84 | Professional | TC · Technical part | $177.83 | $229.09 | $338.84 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $389.05 Typical High $676.08 | Professional | None (both parts) | $234.42 | $389.05 | $676.08 |
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 $173.78 Median $288.40 Typical High $537.03 | Professional | TC · Technical part | $173.78 | $288.40 | $537.03 |
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 $114.82 Median $114.82 Typical High $186.21 | Professional | 52 · Reduced service | $114.82 | $114.82 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $74.13 | Professional | 53 · Discontinued | $45.71 | $45.71 | $74.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $173.78 Median $199.53 Typical High $302.00 | Professional | FX · Film X-ray | $173.78 | $199.53 | $302.00 |
Where Indiana sits
The same service costs 5.5 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· 30th 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.