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 $144.54 Median $851.14 Typical High $2,089.30 | Facility | None | $144.54 | $851.14 | $2,089.30 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $102.33 Typical High $446.68 | Professional | None (both parts) | $95.50 | $102.33 | $446.68 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $20.42 Typical High $70.79 | Professional | 26 · Professional part | $19.05 | $20.42 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $87.10 Typical High $257.04 | Professional | TC · Technical part | $83.18 | $87.10 | $257.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $181.97 Median $933.25 Typical High $933.25 | Facility | None | $181.97 | $933.25 | $933.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $162.18 Median $269.15 Typical High $275.42 | Professional | None (both parts) | $162.18 | $269.15 | $275.42 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $416.87 Typical High $562.34 | Professional | TC · Technical part | $57.54 | $416.87 | $562.34 |
CareSource Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $74.13 | Facility | None | $18.62 | $18.62 | $74.13 |
CareSource Setting Professional Modifier None (both parts) Typical Low $17.38 Median $28.18 Typical High $93.33 | Professional | None (both parts) | $17.38 | $28.18 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $933.25 Typical High $933.25 | Facility | None | $186.21 | $933.25 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $112.20 Typical High $177.83 | Professional | None (both parts) | $77.62 | $112.20 | $177.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $21.38 Typical High $29.51 | Professional | 26 · Professional part | $15.49 | $21.38 | $29.51 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $89.13 Typical High $575.44 | Professional | TC · Technical part | $63.10 | $89.13 | $575.44 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $165.96 Median $954.99 Typical High $2,187.76 | Facility | None | $165.96 | $954.99 | $2,187.76 |
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 $47.86 Median $47.86 Typical High $70.79 | Professional | 52 · Reduced service | $47.86 | $47.86 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.05 Typical High $28.18 | Professional | 53 · Discontinued | $19.05 | $19.05 | $28.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $81.28 Typical High $295.12 | Professional | FX · Film X-ray | $75.86 | $81.28 | $295.12 |
Where Indiana sits
The same service costs 5.5 times more in Maine than in Ohio. 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· 50th of 51
$102
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.