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 $138.04 Median $6,606.93 Typical High $9,120.11 | Facility | None | $138.04 | $6,606.93 | $9,120.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $138.04 Typical High $147.91 | Professional | None (both parts) | $131.83 | $138.04 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $50.12 Typical High $52.48 | Professional | 26 · Professional part | $46.77 | $50.12 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $87.10 Typical High $95.50 | Professional | TC · Technical part | $83.18 | $87.10 | $95.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $436.52 Median $602.56 Typical High $12,882.50 | Facility | None | $436.52 | $602.56 | $12,882.50 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $141.25 Median $436.52 Typical High $588.84 | Professional | None (both parts) | $141.25 | $436.52 | $588.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $74.13 Typical High $100.00 | Professional | 26 · Professional part | $50.12 | $74.13 | $100.00 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $363.08 Typical High $489.78 | Professional | TC · Technical part | $91.20 | $363.08 | $489.78 |
CareSource Setting Facility Modifier None Typical Low $54.95 Median $95.50 Typical High $151.36 | Facility | None | $54.95 | $95.50 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $338.84 Typical High $2,511.89 | Facility | None | $154.88 | $338.84 | $2,511.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $331.13 Typical High $758.58 | Professional | None (both parts) | $141.25 | $331.13 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $64.57 Typical High $102.33 | Professional | 26 · Professional part | $51.29 | $64.57 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $190.55 Typical High $562.34 | Professional | TC · Technical part | $91.20 | $190.55 | $562.34 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $426.58 Median $912.01 Typical High $2,137.96 | Facility | None | $426.58 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $151.36 Median $194.98 Typical High $302.00 | Professional | None (both parts) | $151.36 | $194.98 | $302.00 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $69.18 Typical High $102.33 | Professional | 26 · Professional part | $56.23 | $69.18 | $102.33 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $125.89 Typical High $194.98 | Professional | TC · Technical part | $97.72 | $125.89 | $194.98 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $213.80 Typical High $501.19 | Professional | None (both parts) | $147.91 | $213.80 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $61.66 Typical High $107.15 | Professional | 26 · Professional part | $50.12 | $61.66 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $144.54 Typical High $371.54 | Professional | TC · Technical part | $95.50 | $144.54 | $371.54 |
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 $69.18 Typical High $72.44 | Professional | 52 · Reduced service | $64.57 | $69.18 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $27.54 Typical High $29.51 | Professional | 53 · Discontinued | $26.30 | $27.54 | $29.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $100.00 Median $114.82 Typical High $117.49 | Professional | FX · Film X-ray | $100.00 | $114.82 | $117.49 |
Where Indiana sits
The same service costs 4.4 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· 8th of 51
$316
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.