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 $134.90 Median $194.98 Typical High $9,120.11 | Facility | None | $134.90 | $194.98 | $9,120.11 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $74.13 Median $87.10 Typical High $104.71 | Facility | 26 · Professional part | $74.13 | $87.10 | $104.71 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $61.66 Median $77.62 Typical High $107.15 | Facility | TC · Technical part | $61.66 | $77.62 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $141.25 Typical High $218.78 | Professional | None (both parts) | $128.82 | $141.25 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $74.13 Typical High $104.71 | Professional | 26 · Professional part | $67.61 | $74.13 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $63.10 Typical High $107.15 | Professional | TC · Technical part | $58.88 | $63.10 | $107.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None (both parts) | $138.04 | $138.04 | $138.04 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $79.43 Typical High $112.20 | Professional | 26 · Professional part | $60.26 | $79.43 | $112.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $524.81 Median $6,918.31 Typical High $11,220.18 | Facility | None | $524.81 | $6,918.31 | $11,220.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $138.04 Median $436.52 Typical High $630.96 | Professional | None (both parts) | $138.04 | $436.52 | $630.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $74.13 Typical High $112.20 | Professional | 26 · Professional part | $63.10 | $74.13 | $112.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $363.08 Typical High $524.81 | Professional | TC · Technical part | $63.10 | $363.08 | $524.81 |
CareSource Setting Facility Modifier None Typical Low $63.10 Median $83.18 Typical High $147.91 | Facility | None | $63.10 | $83.18 | $147.91 |
CareSource Setting Professional Modifier None (both parts) Typical Low $60.26 Median $91.20 Typical High $165.96 | Professional | None (both parts) | $60.26 | $91.20 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $6,918.31 Typical High $10,232.93 | Facility | None | $190.55 | $6,918.31 | $10,232.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $331.13 Typical High $851.14 | Professional | None (both parts) | $141.25 | $331.13 | $851.14 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $77.62 Typical High $147.91 | Professional | 26 · Professional part | $61.66 | $77.62 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $190.55 Typical High $588.84 | Professional | TC · Technical part | $66.07 | $190.55 | $588.84 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $416.87 Median $912.01 Typical High $2,137.96 | Facility | None | $416.87 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $151.36 Median $186.21 Typical High $288.40 | Professional | None (both parts) | $151.36 | $186.21 | $288.40 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $97.72 Typical High $151.36 | Professional | 26 · Professional part | $79.43 | $97.72 | $151.36 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $83.18 Typical High $141.25 | Professional | TC · Technical part | $69.18 | $83.18 | $141.25 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $218.78 Typical High $549.54 | Professional | None (both parts) | $147.91 | $218.78 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $85.11 Typical High $147.91 | Professional | 26 · Professional part | $56.23 | $85.11 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $109.65 Typical High $467.74 | Professional | TC · Technical part | $70.79 | $109.65 | $467.74 |
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 $64.57 Median $67.61 Typical High $74.13 | Professional | 52 · Reduced service | $64.57 | $67.61 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $26.92 Typical High $29.51 | Professional | 53 · Discontinued | $25.70 | $26.92 | $29.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $114.82 Typical High $117.49 | Professional | FX · Film X-ray | $102.33 | $114.82 | $117.49 |
Where Indiana sits
The same service costs 4.1 times more in Alaska than in Texas. 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· 13th of 51
$269
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.