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 $23.44 Median $630.96 Typical High $1,659.59 | Facility | None | $23.44 | $630.96 | $1,659.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $25.70 Typical High $77.62 | Professional | None (both parts) | $23.44 | $25.70 | $77.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $9.77 Typical High $16.98 | Professional | 26 · Professional part | $9.33 | $9.77 | $16.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $15.14 Typical High $45.71 | Professional | TC · Technical part | $14.13 | $15.14 | $45.71 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $19.05 Median $22.39 Typical High $35.48 | Professional | None (both parts) | $19.05 | $22.39 | $35.48 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $8.91 Typical High $13.49 | Professional | 26 · Professional part | $7.24 | $8.91 | $13.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $52.48 Median $64.57 Typical High $100.00 | Facility | None | $52.48 | $64.57 | $100.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $23.99 Median $56.23 Typical High $77.62 | Professional | None (both parts) | $23.99 | $56.23 | $77.62 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $9.12 Typical High $14.13 | Professional | 26 · Professional part | $7.59 | $9.12 | $14.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $46.77 Typical High $64.57 | Professional | TC · Technical part | $14.79 | $46.77 | $64.57 |
CareSource Setting Facility Modifier None Typical Low $9.77 Median $15.49 Typical High $25.12 | Facility | None | $9.77 | $15.49 | $25.12 |
CareSource Setting Professional Modifier None (both parts) Typical Low $8.71 Median $14.79 Typical High $28.84 | Professional | None (both parts) | $8.71 | $14.79 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Cigna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $74.13 Typical High $165.96 | Professional | None (both parts) | $22.91 | $74.13 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $11.75 Typical High $21.88 | Professional | 26 · Professional part | $8.91 | $11.75 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $12.88 Median $63.10 Typical High $151.36 | Professional | TC · Technical part | $12.88 | $63.10 | $151.36 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $70.79 Median $912.01 Typical High $2,137.96 | Facility | None | $70.79 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $25.12 Median $32.36 Typical High $47.86 | Professional | None (both parts) | $25.12 | $32.36 | $47.86 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.02 Typical High $18.20 | Professional | 26 · Professional part | $9.77 | $12.02 | $18.20 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $19.95 Typical High $30.20 | Professional | TC · Technical part | $15.85 | $19.95 | $30.20 |
United Setting Professional Modifier None (both parts) Typical Low $21.38 Median $35.48 Typical High $128.82 | Professional | None (both parts) | $21.38 | $35.48 | $128.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $10.72 Typical High $20.42 | Professional | 26 · Professional part | $8.51 | $10.72 | $20.42 |
United Setting Professional Modifier TC · Technical part Typical Low $12.02 Median $19.50 Typical High $112.20 | Professional | TC · Technical part | $12.02 | $19.50 | $112.20 |
1 more rate 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 FX · Film X-ray Typical Low $19.05 Median $20.42 Typical High $23.44 | Professional | FX · Film X-ray | $19.05 | $20.42 | $23.44 |
Where Indiana sits
The same service costs 4.8 times more in Kansas than in New York. 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· 19th of 51
$47.86
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.