How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $144.54 Typical High $158.49 | Professional | None (both parts) | $134.90 | $144.54 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $52.48 Typical High $54.95 | Professional | 26 · Professional part | $48.98 | $52.48 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $91.20 Typical High $102.33 | Professional | TC · Technical part | $87.10 | $91.20 | $102.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $95.50 Median $138.04 Typical High $263.03 | Facility | None | $95.50 | $138.04 | $263.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $117.49 Median $138.04 Typical High $194.98 | Professional | None (both parts) | $117.49 | $138.04 | $194.98 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $77.62 Typical High $104.71 | Professional | 26 · Professional part | $52.48 | $77.62 | $104.71 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $60.26 Typical High $93.33 | Professional | TC · Technical part | $51.29 | $60.26 | $93.33 |
CareSource Setting Facility Modifier None Typical Low $57.54 Median $97.72 Typical High $154.88 | Facility | None | $57.54 | $97.72 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $213.80 Typical High $257.04 | Facility | None | $154.88 | $213.80 | $257.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $186.21 Typical High $257.04 | Professional | None (both parts) | $144.54 | $186.21 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $67.61 Typical High $102.33 | Professional | 26 · Professional part | $53.70 | $67.61 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $114.82 Typical High $162.18 | Professional | TC · Technical part | $93.33 | $114.82 | $162.18 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $457.09 Median $912.01 Typical High $2,137.96 | Facility | None | $457.09 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $151.36 Median $208.93 Typical High $269.15 | Professional | None (both parts) | $151.36 | $208.93 | $269.15 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $69.18 Typical High $104.71 | Professional | 26 · Professional part | $58.88 | $69.18 | $104.71 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $128.82 Typical High $165.96 | Professional | TC · Technical part | $107.15 | $128.82 | $165.96 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $181.97 Typical High $309.03 | Professional | None (both parts) | $147.91 | $181.97 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $64.57 Typical High $112.20 | Professional | 26 · Professional part | $51.29 | $64.57 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $117.49 Typical High $204.17 | Professional | TC · Technical part | $89.13 | $117.49 | $204.17 |
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 $67.61 Median $72.44 Typical High $79.43 | Professional | 52 · Reduced service | $67.61 | $72.44 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $28.84 Typical High $31.62 | Professional | 53 · Discontinued | $26.92 | $28.84 | $31.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $120.23 Typical High $125.89 | Professional | FX · Film X-ray | $102.33 | $120.23 | $125.89 |
Where Indiana sits
The same service costs 3.9 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· 49th of 51
$145
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.