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 $151.36 Median $6,606.93 Typical High $9,120.11 | Facility | None | $151.36 | $6,606.93 | $9,120.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $151.36 Typical High $162.18 | Professional | None (both parts) | $141.25 | $151.36 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $56.23 Typical High $58.88 | Professional | 26 · Professional part | $51.29 | $56.23 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $95.50 Typical High $104.71 | Professional | TC · Technical part | $91.20 | $95.50 | $104.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $426.58 Median $691.83 Typical High $12,882.50 | Facility | None | $426.58 | $691.83 | $12,882.50 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $165.96 Median $426.58 Typical High $575.44 | Professional | None (both parts) | $165.96 | $426.58 | $575.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $85.11 Typical High $114.82 | Professional | 26 · Professional part | $57.54 | $85.11 | $114.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $338.84 Typical High $457.09 | Professional | TC · Technical part | $107.15 | $338.84 | $457.09 |
CareSource Setting Facility Modifier None Typical Low $61.66 Median $107.15 Typical High $169.82 | Facility | None | $61.66 | $107.15 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $346.74 Typical High $10,232.93 | Facility | None | $275.42 | $346.74 | $10,232.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $389.05 Typical High $794.33 | Professional | None (both parts) | $162.18 | $389.05 | $794.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $75.86 Typical High $117.49 | Professional | 26 · Professional part | $57.54 | $75.86 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $218.78 Typical High $562.34 | Professional | TC · Technical part | $102.33 | $218.78 | $562.34 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $501.19 Median $912.01 Typical High $2,137.96 | Facility | None | $501.19 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $173.78 Median $218.78 Typical High $338.84 | Professional | None (both parts) | $173.78 | $218.78 | $338.84 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $77.62 Typical High $117.49 | Professional | 26 · Professional part | $63.10 | $77.62 | $117.49 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $141.25 Typical High $218.78 | Professional | TC · Technical part | $112.20 | $141.25 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $162.18 Median $239.88 Typical High $537.03 | Professional | None (both parts) | $162.18 | $239.88 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $69.18 Typical High $120.23 | Professional | 26 · Professional part | $56.23 | $69.18 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $154.88 Typical High $380.19 | Professional | TC · Technical part | $102.33 | $154.88 | $380.19 |
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 $70.79 Median $75.86 Typical High $81.28 | Professional | 52 · Reduced service | $70.79 | $75.86 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $30.20 Typical High $32.36 | Professional | 53 · Discontinued | $28.18 | $30.20 | $32.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $128.82 Typical High $128.82 | Professional | FX · Film X-ray | $112.20 | $128.82 | $128.82 |
Where Indiana sits
The same service costs 4.4 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· 11th of 51
$339
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.