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 $75.86 Median $75.86 Typical High $165.96 | Facility | None | $75.86 | $75.86 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $70.79 Typical High $75.86 | Professional | None | $61.66 | $70.79 | $75.86 |
Ambetter Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None | $79.43 | $79.43 | $79.43 |
Anthem BCBS Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $158.49 | Facility | None | $81.28 | $81.28 | $158.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $66.07 Median $81.28 Typical High $120.23 | Professional | None | $66.07 | $81.28 | $120.23 |
CareSource Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $93.33 Typical High $154.88 | Professional | None | $69.18 | $93.33 | $154.88 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $186.21 Median $213.80 Typical High $2,089.30 | Facility | None | $186.21 | $213.80 | $2,089.30 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $72.44 Median $91.20 Typical High $141.25 | Professional | None | $72.44 | $91.20 | $141.25 |
United Setting Professional Modifier None Typical Low $66.07 Median $89.13 Typical High $147.91 | Professional | None | $66.07 | $89.13 | $147.91 |
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 $31.62 Median $35.48 Typical High $37.15 | Professional | 52 · Reduced service | $31.62 | $35.48 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $14.13 Typical High $15.14 | Professional | 53 · Discontinued | $12.59 | $14.13 | $15.14 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $45.71 Median $53.70 Typical High $60.26 | Professional | FX · Film X-ray | $45.71 | $53.70 | $60.26 |
Where Indiana sits
The same service costs 4.2 times more in Alaska 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· 39th of 51
$81.28
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.