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 $288.40 Median $338.84 Typical High $1,122.02 | Facility | None | $288.40 | $338.84 | $1,122.02 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $74.13 Median $104.71 Typical High $112.20 | Facility | 26 · Professional part | $74.13 | $104.71 | $112.20 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $162.18 Median $234.42 Typical High $323.59 | Facility | TC · Technical part | $162.18 | $234.42 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $234.42 Typical High $354.81 | Professional | None (both parts) | $218.78 | $234.42 | $354.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $74.13 Typical High $107.15 | Professional | 26 · Professional part | $69.18 | $74.13 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $162.18 Typical High $234.42 | Professional | TC · Technical part | $147.91 | $162.18 | $234.42 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $371.54 | Professional | None (both parts) | $194.98 | $194.98 | $371.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $114.82 | Professional | 26 · Professional part | $81.28 | $81.28 | $114.82 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $181.97 Typical High $218.78 | Professional | TC · Technical part | $181.97 | $181.97 | $218.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $173.78 Median $346.74 Typical High $2,238.72 | Facility | None | $173.78 | $346.74 | $2,238.72 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $147.91 Median $173.78 Typical High $251.19 | Professional | None (both parts) | $147.91 | $173.78 | $251.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $102.33 Typical High $138.04 | Professional | 26 · Professional part | $75.86 | $102.33 | $138.04 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $72.44 Typical High $169.82 | Professional | TC · Technical part | $61.66 | $72.44 | $169.82 |
CareSource Setting Facility Modifier None Typical Low $81.28 Median $165.96 Typical High $245.47 | Facility | None | $81.28 | $165.96 | $245.47 |
CareSource Setting Professional Modifier None (both parts) Typical Low $72.44 Median $158.49 Typical High $257.04 | Professional | None (both parts) | $72.44 | $158.49 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $416.87 Typical High $1,995.26 | Facility | None | $346.74 | $416.87 | $1,995.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $245.47 Typical High $436.52 | Professional | None (both parts) | $177.83 | $245.47 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $95.50 Typical High $151.36 | Professional | 26 · Professional part | $77.62 | $95.50 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $147.91 Typical High $302.00 | Professional | TC · Technical part | $85.11 | $147.91 | $302.00 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $741.31 Median $912.01 Typical High $2,137.96 | Facility | None | $741.31 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $239.88 Median $323.59 Typical High $478.63 | Professional | None (both parts) | $239.88 | $323.59 | $478.63 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $100.00 Typical High $151.36 | Professional | 26 · Professional part | $81.28 | $100.00 | $151.36 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $223.87 Typical High $331.13 | Professional | TC · Technical part | $165.96 | $223.87 | $331.13 |
United Setting Professional Modifier None (both parts) Typical Low $190.55 Median $263.03 Typical High $478.63 | Professional | None (both parts) | $190.55 | $263.03 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $85.11 Typical High $151.36 | Professional | 26 · Professional part | $70.79 | $85.11 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $177.83 Typical High $331.13 | Professional | TC · Technical part | $112.20 | $177.83 | $331.13 |
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 $112.20 Median $117.49 Typical High $131.83 | Professional | 52 · Reduced service | $112.20 | $117.49 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $47.86 Typical High $52.48 | Professional | 53 · Discontinued | $44.67 | $47.86 | $52.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $162.18 Median $199.53 Typical High $199.53 | Professional | FX · Film X-ray | $162.18 | $199.53 | $199.53 |
Where Indiana sits
The same service costs 5.0 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· 46th of 51
$219
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.