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 $162.18 Median $309.03 Typical High $1,659.59 | Facility | None | $162.18 | $309.03 | $1,659.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $128.82 Typical High $245.47 | Professional | None (both parts) | $123.03 | $128.82 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $58.88 | Professional | 26 · Professional part | $45.71 | $45.71 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $83.18 Typical High $123.03 | Professional | TC · Technical part | $79.43 | $83.18 | $123.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $42.66 Typical High $42.66 | Professional | 26 · Professional part | $33.88 | $42.66 | $42.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $131.83 Median $239.88 Typical High $467.74 | Facility | None | $131.83 | $239.88 | $467.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $117.49 Median $147.91 Typical High $223.87 | Professional | None (both parts) | $117.49 | $147.91 | $223.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $63.10 Typical High $87.10 | Professional | 26 · Professional part | $42.66 | $63.10 | $87.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $83.18 Typical High $128.82 | Professional | TC · Technical part | $70.79 | $83.18 | $128.82 |
CareSource Setting Facility Modifier None Typical Low $46.77 Median $83.18 Typical High $128.82 | Facility | None | $46.77 | $83.18 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $275.42 | Facility | None | $239.88 | $239.88 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $204.17 Typical High $323.59 | Professional | None (both parts) | $128.82 | $204.17 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $56.23 Typical High $104.71 | Professional | 26 · Professional part | $42.66 | $56.23 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $151.36 Typical High $208.93 | Professional | TC · Technical part | $85.11 | $151.36 | $208.93 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $165.96 Median $407.38 Typical High $2,089.30 | Facility | None | $165.96 | $407.38 | $2,089.30 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $144.54 Median $186.21 Typical High $257.04 | Professional | None (both parts) | $144.54 | $186.21 | $257.04 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $64.57 Typical High $87.10 | Professional | 26 · Professional part | $48.98 | $64.57 | $87.10 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $123.03 Typical High $169.82 | Professional | TC · Technical part | $97.72 | $123.03 | $169.82 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $177.83 Typical High $309.03 | Professional | None (both parts) | $128.82 | $177.83 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $51.29 Typical High $97.72 | Professional | 26 · Professional part | $41.69 | $51.29 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $123.03 Typical High $213.80 | Professional | TC · Technical part | $85.11 | $123.03 | $213.80 |
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 $61.66 Median $64.57 Typical High $83.18 | Professional | 52 · Reduced service | $61.66 | $64.57 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $25.70 Typical High $33.11 | Professional | 53 · Discontinued | $24.55 | $25.70 | $33.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $109.65 Typical High $128.82 | Professional | FX · Film X-ray | $97.72 | $109.65 | $128.82 |
Where Indiana sits
The same service costs 4.3 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· 41st of 51
$148
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.