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 $2,630.27 Median $6,606.93 Typical High $9,120.11 | Facility | None | $2,630.27 | $6,606.93 | $9,120.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,398.83 Median $2,630.27 Typical High $2,818.38 | Professional | None (both parts) | $2,398.83 | $2,630.27 | $2,818.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $48.98 Typical High $52.48 | Professional | 26 · Professional part | $44.67 | $48.98 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $2,398.83 Median $2,630.27 Typical High $2,818.38 | Professional | TC · Technical part | $2,398.83 | $2,630.27 | $2,818.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $239.88 Median $457.09 Typical High $12,882.50 | Facility | None | $239.88 | $457.09 | $12,882.50 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $204.17 Median $239.88 Typical High $2,454.71 | Professional | None (both parts) | $204.17 | $239.88 | $2,454.71 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $75.86 Typical High $100.00 | Professional | 26 · Professional part | $48.98 | $75.86 | $100.00 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $162.18 Typical High $2,454.71 | Professional | TC · Technical part | $138.04 | $162.18 | $2,454.71 |
CareSource Setting Facility Modifier None Typical Low $53.70 Median $194.98 Typical High $251.19 | Facility | None | $53.70 | $194.98 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $645.65 Typical High $10,232.93 | Facility | None | $501.19 | $645.65 | $10,232.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $323.59 Typical High $467.74 | Professional | None (both parts) | $234.42 | $323.59 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $64.57 Typical High $97.72 | Professional | 26 · Professional part | $50.12 | $64.57 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $257.04 Typical High $331.13 | Professional | TC · Technical part | $186.21 | $257.04 | $331.13 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $776.25 Median $912.01 Typical High $2,137.96 | Facility | None | $776.25 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $263.03 Median $354.81 Typical High $467.74 | Professional | None (both parts) | $263.03 | $354.81 | $467.74 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $66.07 Typical High $95.50 | Professional | 26 · Professional part | $54.95 | $66.07 | $95.50 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $309.03 Typical High $398.11 | Professional | TC · Technical part | $245.47 | $309.03 | $398.11 |
United Setting Professional Modifier None (both parts) Typical Low $288.40 Median $2,691.53 Typical High $5,011.87 | Professional | None (both parts) | $288.40 | $2,691.53 | $5,011.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $61.66 Typical High $104.71 | Professional | 26 · Professional part | $48.98 | $61.66 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $2,630.27 Typical High $4,897.79 | Professional | TC · Technical part | $223.87 | $2,630.27 | $4,897.79 |
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 $1,202.26 Median $1,318.26 Typical High $1,412.54 | Professional | 52 · Reduced service | $1,202.26 | $1,318.26 | $1,412.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $478.63 Median $524.81 Typical High $562.34 | Professional | 53 · Discontinued | $478.63 | $524.81 | $562.34 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $1,949.84 Median $2,238.72 Typical High $2,238.72 | Professional | FX · Film X-ray | $1,949.84 | $2,238.72 | $2,238.72 |
Where Indiana sits
The same service costs 15.1 times more in Colorado than in New Jersey. 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· 47th 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.