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 $36.31 Median $45.71 Typical High $63.10 | Facility | None | $36.31 | $45.71 | $63.10 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $12.88 Median $16.60 Typical High $21.88 | Facility | 26 · Professional part | $12.88 | $16.60 | $21.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $22.39 Median $30.20 Typical High $44.67 | Facility | TC · Technical part | $22.39 | $30.20 | $44.67 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $35.48 Typical High $57.54 | Professional | None (both parts) | $33.11 | $35.48 | $57.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $13.18 Typical High $20.42 | Professional | 26 · Professional part | $12.59 | $13.18 | $20.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $22.39 Typical High $34.67 | Professional | TC · Technical part | $20.42 | $22.39 | $34.67 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $31.62 Median $31.62 Typical High $33.11 | Professional | None (both parts) | $31.62 | $31.62 | $33.11 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $13.80 Typical High $16.98 | Professional | 26 · Professional part | $10.96 | $13.80 | $16.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $29.51 Median $346.74 Typical High $346.74 | Facility | None | $29.51 | $346.74 | $346.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $28.18 Median $33.11 Typical High $47.86 | Professional | None (both parts) | $28.18 | $33.11 | $47.86 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $14.79 Typical High $21.38 | Professional | 26 · Professional part | $12.59 | $14.79 | $21.38 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $18.62 Typical High $26.92 | Professional | TC · Technical part | $15.85 | $18.62 | $26.92 |
CareSource Setting Facility Modifier None Typical Low $13.80 Median $23.44 Typical High $67.61 | Facility | None | $13.80 | $23.44 | $67.61 |
CareSource Setting Professional Modifier None (both parts) Typical Low $12.59 Median $22.91 Typical High $40.74 | Professional | None (both parts) | $12.59 | $22.91 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $39.81 Typical High $67.61 | Professional | None (both parts) | $33.11 | $39.81 | $67.61 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $17.78 Typical High $26.30 | Professional | 26 · Professional part | $13.80 | $17.78 | $26.30 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $22.39 Typical High $38.02 | Professional | TC · Technical part | $17.78 | $22.39 | $38.02 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $112.20 Median $912.01 Typical High $2,137.96 | Facility | None | $112.20 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $38.90 Median $47.86 Typical High $70.79 | Professional | None (both parts) | $38.90 | $47.86 | $70.79 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $16.98 Typical High $25.70 | Professional | 26 · Professional part | $14.13 | $16.98 | $25.70 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $30.90 Typical High $45.71 | Professional | TC · Technical part | $25.12 | $30.90 | $45.71 |
United Setting Professional Modifier None (both parts) Typical Low $30.20 Median $37.15 Typical High $63.10 | Professional | None (both parts) | $30.20 | $37.15 | $63.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $15.49 Typical High $26.30 | Professional | 26 · Professional part | $12.59 | $15.49 | $26.30 |
United Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $21.88 Typical High $38.02 | Professional | TC · Technical part | $16.60 | $21.88 | $38.02 |
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 $16.60 Median $17.78 Typical High $19.05 | Professional | 52 · Reduced service | $16.60 | $17.78 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $7.08 Typical High $7.59 | Professional | 53 · Discontinued | $6.61 | $7.08 | $7.59 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $24.55 Median $30.20 Typical High $30.20 | Professional | FX · Film X-ray | $24.55 | $30.20 | $30.20 |
Where Indiana sits
The same service costs 4.1 times more in Alaska than in Florida. 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· 45th of 51
$35.48
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.