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 $87.10 Median $524.81 Typical High $707.95 | Facility | None | $87.10 | $524.81 | $707.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $87.10 Typical High $93.33 | Professional | None (both parts) | $79.43 | $87.10 | $93.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $16.22 Typical High $17.38 | Professional | 26 · Professional part | $14.79 | $16.22 | $17.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $70.79 Typical High $75.86 | Professional | TC · Technical part | $63.10 | $70.79 | $75.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $70.79 Median $363.08 Typical High $977.24 | Facility | None | $70.79 | $363.08 | $977.24 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $60.26 Median $70.79 Typical High $104.71 | Professional | None (both parts) | $60.26 | $70.79 | $104.71 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $25.12 Typical High $33.88 | Professional | 26 · Professional part | $17.38 | $25.12 | $33.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $45.71 Typical High $75.86 | Professional | TC · Technical part | $38.90 | $45.71 | $75.86 |
CareSource Setting Facility Modifier None Typical Low $18.20 Median $72.44 Typical High $91.20 | Facility | None | $18.20 | $72.44 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $239.88 Typical High $954.99 | Facility | None | $186.21 | $239.88 | $954.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $89.13 Typical High $154.88 | Professional | None (both parts) | $69.18 | $89.13 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $21.88 Typical High $31.62 | Professional | 26 · Professional part | $16.60 | $21.88 | $31.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $64.57 Typical High $123.03 | Professional | TC · Technical part | $47.86 | $64.57 | $123.03 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $281.84 Median $912.01 Typical High $2,137.96 | Facility | None | $281.84 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $91.20 Median $117.49 Typical High $177.83 | Professional | None (both parts) | $91.20 | $117.49 | $177.83 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $22.91 Typical High $33.88 | Professional | 26 · Professional part | $18.20 | $22.91 | $33.88 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $95.50 Typical High $147.91 | Professional | TC · Technical part | $72.44 | $95.50 | $147.91 |
United Setting Professional Modifier None (both parts) Typical Low $72.44 Median $93.33 Typical High $162.18 | Professional | None (both parts) | $72.44 | $93.33 | $162.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $19.95 Typical High $34.67 | Professional | 26 · Professional part | $15.85 | $19.95 | $34.67 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $74.13 Typical High $131.83 | Professional | TC · Technical part | $56.23 | $74.13 | $131.83 |
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 $39.81 Median $43.65 Typical High $45.71 | Professional | 52 · Reduced service | $39.81 | $43.65 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $17.38 Typical High $18.62 | Professional | 53 · Discontinued | $15.85 | $17.38 | $18.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $58.88 Median $72.44 Typical High $74.13 | Professional | FX · Film X-ray | $58.88 | $72.44 | $74.13 |
Where Indiana sits
The same service costs 3.8 times more in Alaska than in Kentucky. 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· 46th of 51
$85.11
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.