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 $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $91.20 Typical High $100.00 | Professional | None (both parts) | $87.10 | $91.20 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $23.99 Typical High $25.12 | Professional | 26 · Professional part | $22.91 | $23.99 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $66.07 Typical High $75.86 | Professional | TC · Technical part | $64.57 | $66.07 | $75.86 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $32.36 Typical High $36.31 | Professional | 26 · Professional part | $30.90 | $32.36 | $36.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $104.71 Median $199.53 Typical High $199.53 | Facility | None | $104.71 | $199.53 | $199.53 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $89.13 Median $104.71 Typical High $141.25 | Professional | None (both parts) | $89.13 | $104.71 | $141.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $35.48 Typical High $40.74 | Professional | 26 · Professional part | $23.99 | $35.48 | $40.74 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $69.18 Typical High $104.71 | Professional | TC · Technical part | $58.88 | $69.18 | $104.71 |
CareSource Setting Facility Modifier None Typical Low $26.30 Median $72.44 Typical High $257.04 | Facility | None | $26.30 | $72.44 | $257.04 |
CareSource Setting Professional Modifier None (both parts) Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | None (both parts) | $22.39 | $22.39 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $131.83 Typical High $223.87 | Professional | None (both parts) | $100.00 | $131.83 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $30.20 Typical High $51.29 | Professional | 26 · Professional part | $25.12 | $30.20 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $100.00 Typical High $165.96 | Professional | TC · Technical part | $72.44 | $100.00 | $165.96 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $354.81 Median $912.01 Typical High $2,137.96 | Facility | None | $354.81 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $125.89 Median $169.82 Typical High $213.80 | Professional | None (both parts) | $125.89 | $169.82 | $213.80 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $32.36 Typical High $46.77 | Professional | 26 · Professional part | $27.54 | $32.36 | $46.77 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $131.83 Typical High $162.18 | Professional | TC · Technical part | $109.65 | $131.83 | $162.18 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $131.83 Typical High $204.17 | Professional | None (both parts) | $109.65 | $131.83 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $26.92 Typical High $41.69 | Professional | 26 · Professional part | $22.91 | $26.92 | $41.69 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $107.15 Typical High $162.18 | Professional | TC · Technical part | $87.10 | $107.15 | $162.18 |
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 $42.66 Median $45.71 Typical High $50.12 | Professional | 52 · Reduced service | $42.66 | $45.71 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $18.20 Typical High $20.42 | Professional | 53 · Discontinued | $17.38 | $18.20 | $20.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $63.10 Median $81.28 Typical High $81.28 | Professional | FX · Film X-ray | $63.10 | $81.28 | $81.28 |
Where Indiana sits
The same service costs 4.0 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· 41st of 51
$105
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.