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 $117.49 Median $1,230.27 Typical High $1,778.28 | Facility | None | $117.49 | $1,230.27 | $1,778.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $117.49 Typical High $123.03 | Professional | None (both parts) | $109.65 | $117.49 | $123.03 |
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 $63.10 Median $66.07 Typical High $72.44 | Professional | TC · Technical part | $63.10 | $66.07 | $72.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $436.52 Median $575.44 Typical High $2,570.40 | Facility | None | $436.52 | $575.44 | $2,570.40 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $117.49 Median $436.52 Typical High $588.84 | Professional | None (both parts) | $117.49 | $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 $67.61 Median $363.08 Typical High $489.78 | Professional | TC · Technical part | $67.61 | $363.08 | $489.78 |
CareSource Setting Facility Modifier None Typical Low $54.95 Median $69.18 Typical High $125.89 | Facility | None | $54.95 | $69.18 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $229.09 Typical High $2,511.89 | Facility | None | $181.97 | $229.09 | $2,511.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $288.40 Typical High $776.25 | Professional | None (both parts) | $120.23 | $288.40 | $776.25 |
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 $69.18 Median $213.80 Typical High $562.34 | Professional | TC · Technical part | $69.18 | $213.80 | $562.34 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $354.81 Median $912.01 Typical High $2,137.96 | Facility | None | $354.81 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $125.89 Median $162.18 Typical High $251.19 | Professional | None (both parts) | $125.89 | $162.18 | $251.19 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $69.18 Typical High $104.71 | Professional | 26 · Professional part | $56.23 | $69.18 | $104.71 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $93.33 Typical High $144.54 | Professional | TC · Technical part | $74.13 | $93.33 | $144.54 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $204.17 Typical High $512.86 | Professional | None (both parts) | $125.89 | $204.17 | $512.86 |
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 $75.86 Median $114.82 Typical High $371.54 | Professional | TC · Technical part | $75.86 | $114.82 | $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 $54.95 Median $58.88 Typical High $61.66 | Professional | 52 · Reduced service | $54.95 | $58.88 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $23.44 Typical High $24.55 | Professional | 53 · Discontinued | $21.88 | $23.44 | $24.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $87.10 Median $95.50 Typical High $100.00 | Professional | FX · Film X-ray | $87.10 | $95.50 | $100.00 |
Where Indiana sits
The same service costs 4.9 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· 7th of 51
$288
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.