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 $125.89 Median $6,606.93 Typical High $9,120.11 | Facility | None | $125.89 | $6,606.93 | $9,120.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $125.89 Typical High $144.54 | Professional | None (both parts) | $117.49 | $125.89 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $60.26 Typical High $67.61 | Professional | 26 · Professional part | $56.23 | $60.26 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $64.57 Typical High $72.44 | Professional | TC · Technical part | $61.66 | $64.57 | $72.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $457.09 Median $4,073.80 Typical High $11,220.18 | Facility | None | $457.09 | $4,073.80 | $11,220.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $125.89 Median $457.09 Typical High $645.65 | Professional | None (both parts) | $125.89 | $457.09 | $645.65 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $93.33 Typical High $120.23 | Professional | 26 · Professional part | $60.26 | $93.33 | $120.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $363.08 Typical High $512.86 | Professional | TC · Technical part | $66.07 | $363.08 | $512.86 |
CareSource Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $134.90 | Facility | None | $67.61 | $67.61 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $3,981.07 Typical High $4,073.80 | Facility | None | $177.83 | $3,981.07 | $4,073.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $309.03 Typical High $831.76 | Professional | None (both parts) | $128.82 | $309.03 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $81.28 Typical High $123.03 | Professional | 26 · Professional part | $61.66 | $81.28 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $169.82 Typical High $588.84 | Professional | TC · Technical part | $69.18 | $169.82 | $588.84 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $389.05 Median $912.01 Typical High $2,137.96 | Facility | None | $389.05 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $134.90 Median $173.78 Typical High $269.15 | Professional | None (both parts) | $134.90 | $173.78 | $269.15 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $83.18 Typical High $125.89 | Professional | 26 · Professional part | $67.61 | $83.18 | $125.89 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $91.20 Typical High $141.25 | Professional | TC · Technical part | $72.44 | $91.20 | $141.25 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $199.53 Typical High $575.44 | Professional | None (both parts) | $134.90 | $199.53 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $74.13 Typical High $125.89 | Professional | 26 · Professional part | $60.26 | $74.13 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $112.20 Typical High $467.74 | Professional | TC · Technical part | $72.44 | $112.20 | $467.74 |
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 $58.88 Median $63.10 Typical High $66.07 | Professional | 52 · Reduced service | $58.88 | $63.10 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $25.12 Typical High $26.92 | Professional | 53 · Discontinued | $23.44 | $25.12 | $26.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $93.33 Median $104.71 Typical High $107.15 | Professional | FX · Film X-ray | $93.33 | $104.71 | $107.15 |
Where Indiana sits
The same service costs 4.5 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· 5th 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.