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 $114.82 Median $169.82 Typical High $9,120.11 | Facility | None | $114.82 | $169.82 | $9,120.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $114.82 Typical High $144.54 | Professional | None (both parts) | $107.15 | $114.82 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $48.98 Typical High $56.23 | Professional | 26 · Professional part | $45.71 | $48.98 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $64.57 Typical High $81.28 | Professional | TC · Technical part | $61.66 | $64.57 | $81.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $407.38 Median $537.03 Typical High $12,882.50 | Facility | None | $407.38 | $537.03 | $12,882.50 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $120.23 Median $407.38 Typical High $549.54 | Professional | None (both parts) | $120.23 | $407.38 | $549.54 |
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 $70.79 Median $338.84 Typical High $457.09 | Professional | TC · Technical part | $70.79 | $338.84 | $457.09 |
CareSource Setting Facility Modifier None Typical Low $54.95 Median $69.18 Typical High $123.03 | Facility | None | $54.95 | $69.18 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $223.87 Typical High $10,232.93 | Facility | None | $131.83 | $223.87 | $10,232.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $288.40 Typical High $758.58 | Professional | None (both parts) | $117.49 | $288.40 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $66.07 Typical High $100.00 | Professional | 26 · Professional part | $50.12 | $66.07 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $169.82 Typical High $562.34 | Professional | TC · Technical part | $69.18 | $169.82 | $562.34 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $363.08 Median $912.01 Typical High $2,137.96 | Facility | None | $363.08 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $128.82 Median $158.49 Typical High $245.47 | Professional | None (both parts) | $128.82 | $158.49 | $245.47 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $67.61 Typical High $102.33 | Professional | 26 · Professional part | $54.95 | $67.61 | $102.33 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $91.20 Typical High $144.54 | Professional | TC · Technical part | $74.13 | $91.20 | $144.54 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $190.55 Typical High $489.78 | Professional | None (both parts) | $125.89 | $190.55 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $60.26 Typical High $104.71 | Professional | 26 · Professional part | $48.98 | $60.26 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $112.20 Typical High $338.84 | Professional | TC · Technical part | $72.44 | $112.20 | $338.84 |
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 $53.70 Median $56.23 Typical High $60.26 | Professional | 52 · Reduced service | $53.70 | $56.23 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $22.91 Typical High $24.55 | Professional | 53 · Discontinued | $21.88 | $22.91 | $24.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $85.11 Median $93.33 Typical High $97.72 | Professional | FX · Film X-ray | $85.11 | $93.33 | $97.72 |
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· 9th 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.