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 $177.83 Median $177.83 Typical High $398.11 | Facility | None | $177.83 | $177.83 | $398.11 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $177.83 Typical High $269.15 | Professional | None | $151.36 | $177.83 | $269.15 |
Ambetter Setting Professional Modifier None Typical Low $128.82 Median $138.04 Typical High $239.88 | Professional | None | $128.82 | $138.04 | $239.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $354.81 | Facility | None | $186.21 | $186.21 | $354.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $158.49 Median $186.21 Typical High $288.40 | Professional | None | $158.49 | $186.21 | $288.40 |
CareSource Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
CareSource Setting Professional Modifier None Typical Low $154.88 Median $173.78 Typical High $223.87 | Professional | None | $154.88 | $173.78 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $218.78 Typical High $338.84 | Professional | None | $165.96 | $218.78 | $338.84 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $407.38 Median $512.86 Typical High $2,089.30 | Facility | None | $407.38 | $512.86 | $2,089.30 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $173.78 Median $213.80 Typical High $331.13 | Professional | None | $173.78 | $213.80 | $331.13 |
United Setting Professional Modifier None Typical Low $151.36 Median $204.17 Typical High $354.81 | Professional | None | $151.36 | $204.17 | $354.81 |
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 $75.86 Median $85.11 Typical High $89.13 | Professional | 52 · Reduced service | $75.86 | $85.11 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $33.88 Typical High $35.48 | Professional | 53 · Discontinued | $30.20 | $33.88 | $35.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $109.65 Median $128.82 Typical High $141.25 | Professional | FX · Film X-ray | $109.65 | $128.82 | $141.25 |
Where Indiana sits
The same service costs 4.5 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· 42nd of 51
$186
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.