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 $338.84 Median $354.81 Typical High $870.96 | Facility | None | $338.84 | $354.81 | $870.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $794.33 Median $870.96 Typical High $1,000.00 | Professional | None (both parts) | $794.33 | $870.96 | $1,000.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $61.66 Typical High $79.43 | Professional | 26 · Professional part | $60.26 | $61.66 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $812.83 Typical High $912.01 | Professional | TC · Technical part | $724.44 | $812.83 | $912.01 |
Anthem BCBS Setting Facility Modifier None Typical Low $501.19 Median $2,454.71 Typical High $2,454.71 | Facility | None | $501.19 | $2,454.71 | $2,454.71 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $288.40 Median $501.19 Typical High $741.31 | Professional | None (both parts) | $288.40 | $501.19 | $741.31 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $85.11 Typical High $128.82 | Professional | 26 · Professional part | $72.44 | $85.11 | $128.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $416.87 Typical High $630.96 | Professional | TC · Technical part | $173.78 | $416.87 | $630.96 |
CareSource Setting Facility Modifier None Typical Low $72.44 Median $891.25 Typical High $1,905.46 | Facility | None | $72.44 | $891.25 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $1,513.56 Typical High $2,454.71 | Facility | None | $891.25 | $1,513.56 | $2,454.71 |
Cigna Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,148.15 Typical High $1,737.80 | Professional | None (both parts) | $891.25 | $1,148.15 | $1,737.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $85.11 Typical High $138.04 | Professional | 26 · Professional part | $70.79 | $85.11 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $1,047.13 Typical High $1,905.46 | Professional | TC · Technical part | $794.33 | $1,047.13 | $1,905.46 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $794.33 Median $912.01 Typical High $2,137.96 | Facility | None | $794.33 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $346.74 Median $549.54 Typical High $1,513.56 | Professional | None (both parts) | $346.74 | $549.54 | $1,513.56 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $100.00 Typical High $194.98 | Professional | 26 · Professional part | $77.62 | $100.00 | $194.98 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $354.81 Typical High $1,412.54 | Professional | TC · Technical part | $218.78 | $354.81 | $1,412.54 |
United Setting Professional Modifier None (both parts) Typical Low $851.14 Median $1,148.15 Typical High $2,187.76 | Professional | None (both parts) | $851.14 | $1,148.15 | $2,187.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $77.62 Typical High $125.89 | Professional | 26 · Professional part | $61.66 | $77.62 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $1,071.52 Typical High $2,041.74 | Professional | TC · Technical part | $776.25 | $1,071.52 | $2,041.74 |
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 $389.05 Median $436.52 Typical High $489.78 | Professional | 52 · Reduced service | $389.05 | $436.52 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $173.78 Typical High $199.53 | Professional | 53 · Discontinued | $158.49 | $173.78 | $199.53 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $630.96 Median $741.31 Typical High $794.33 | Professional | FX · Film X-ray | $630.96 | $741.31 | $794.33 |
Where Indiana sits
The same service costs 20.4 times more in Alaska than in Oregon. 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· 43rd of 51
$692
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.