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 $331.13 Median $524.81 Typical High $1,348.96 | Facility | None | $331.13 | $524.81 | $1,348.96 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $120.23 Median $144.54 Typical High $199.53 | Facility | 26 · Professional part | $120.23 | $144.54 | $199.53 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $181.97 Median $269.15 Typical High $467.74 | Facility | TC · Technical part | $181.97 | $269.15 | $467.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $302.00 Typical High $512.86 | Professional | None (both parts) | $281.84 | $302.00 | $512.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $114.82 Typical High $169.82 | Professional | 26 · Professional part | $109.65 | $114.82 | $169.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $186.21 Typical High $338.84 | Professional | TC · Technical part | $169.82 | $186.21 | $338.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None (both parts) | $309.03 | $309.03 | $309.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $104.71 Typical High $158.49 | Professional | 26 · Professional part | $83.18 | $104.71 | $158.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $389.05 Median $724.44 Typical High $1,479.11 | Facility | None | $389.05 | $724.44 | $1,479.11 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $269.15 Median $389.05 Typical High $537.03 | Professional | None (both parts) | $269.15 | $389.05 | $537.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $123.03 Typical High $181.97 | Professional | 26 · Professional part | $104.71 | $123.03 | $181.97 |
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 $114.82 Median $288.40 Typical High $407.38 | Facility | None | $114.82 | $288.40 | $407.38 |
CareSource Setting Professional Modifier None (both parts) Typical Low $104.71 Median $275.42 Typical High $467.74 | Professional | None (both parts) | $104.71 | $275.42 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $954.99 | Facility | None | $724.44 | $724.44 | $954.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $707.95 Typical High $977.24 | Professional | None (both parts) | $407.38 | $707.95 | $977.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $131.83 Typical High $251.19 | Professional | 26 · Professional part | $104.71 | $131.83 | $251.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $489.78 Typical High $724.44 | Professional | TC · Technical part | $295.12 | $489.78 | $724.44 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $1,148.15 Typical High $2,137.96 | Facility | None | $912.01 | $1,148.15 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $457.09 Median $575.44 Typical High $812.83 | Professional | None (both parts) | $457.09 | $575.44 | $812.83 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $158.49 Typical High $208.93 | Professional | 26 · Professional part | $125.89 | $158.49 | $208.93 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $426.58 Typical High $588.84 | Professional | TC · Technical part | $331.13 | $426.58 | $588.84 |
United Setting Professional Modifier None (both parts) Typical Low $380.19 Median $537.03 Typical High $977.24 | Professional | None (both parts) | $380.19 | $537.03 | $977.24 |
United Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $125.89 Typical High $234.42 | Professional | 26 · Professional part | $102.33 | $125.89 | $234.42 |
United Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $398.11 Typical High $724.44 | Professional | TC · Technical part | $275.42 | $398.11 | $724.44 |
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 $138.04 Median $144.54 Typical High $181.97 | Professional | 52 · Reduced service | $138.04 | $144.54 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $57.54 Typical High $74.13 | Professional | 53 · Discontinued | $54.95 | $57.54 | $74.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $218.78 Median $245.47 Typical High $263.03 | Professional | FX · Film X-ray | $218.78 | $245.47 | $263.03 |
Where Indiana sits
The same service costs 6.8 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· 42nd of 51
$389
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.