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 $114.82 Median $114.82 Typical High $257.04 | Facility | None | $114.82 | $114.82 | $257.04 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $114.82 Typical High $134.90 | Professional | None | $93.33 | $114.82 | $134.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $239.88 | Facility | None | $123.03 | $123.03 | $239.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $102.33 Median $123.03 Typical High $186.21 | Professional | None | $102.33 | $123.03 | $186.21 |
CareSource Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $141.25 Typical High $229.09 | Professional | None | $107.15 | $141.25 | $229.09 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $275.42 Median $323.59 Typical High $2,089.30 | Facility | None | $275.42 | $323.59 | $2,089.30 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $112.20 Median $138.04 Typical High $213.80 | Professional | None | $112.20 | $138.04 | $213.80 |
United Setting Professional Modifier None Typical Low $100.00 Median $134.90 Typical High $223.87 | Professional | None | $100.00 | $134.90 | $223.87 |
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 $48.98 Median $53.70 Typical High $57.54 | Professional | 52 · Reduced service | $48.98 | $53.70 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $21.88 Typical High $22.91 | Professional | 53 · Discontinued | $19.50 | $21.88 | $22.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $69.18 Median $81.28 Typical High $91.20 | Professional | FX · Film X-ray | $69.18 | $81.28 | $91.20 |
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· 40th of 51
$123
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.