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 $467.74 Median $549.54 Typical High $776.25 | Facility | None | $467.74 | $549.54 | $776.25 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $87.10 Median $104.71 Typical High $147.91 | Facility | 26 · Professional part | $87.10 | $104.71 | $147.91 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $380.19 Median $446.68 Typical High $630.96 | Facility | TC · Technical part | $380.19 | $446.68 | $630.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $467.74 Typical High $660.69 | Professional | None (both parts) | $389.05 | $467.74 | $660.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $87.10 Typical High $123.03 | Professional | 26 · Professional part | $72.44 | $87.10 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $380.19 Typical High $549.54 | Professional | TC · Technical part | $316.23 | $380.19 | $549.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None (both parts) | $346.74 | $346.74 | $346.74 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $66.07 Typical High $117.49 | Professional | 26 · Professional part | $63.10 | $66.07 | $117.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $707.95 | Facility | None | $371.54 | $371.54 | $707.95 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $316.23 Median $371.54 Typical High $575.44 | Professional | None (both parts) | $316.23 | $371.54 | $575.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $102.33 Typical High $151.36 | Professional | 26 · Professional part | $79.43 | $102.33 | $151.36 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $269.15 Typical High $501.19 | Professional | TC · Technical part | $229.09 | $269.15 | $501.19 |
CareSource Setting Facility Modifier None Typical Low $85.11 Median $338.84 Typical High $416.87 | Facility | None | $85.11 | $338.84 | $416.87 |
CareSource Setting Professional Modifier None (both parts) Typical Low $77.62 Median $354.81 Typical High $501.19 | Professional | None (both parts) | $77.62 | $354.81 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $1,096.48 Typical High $3,630.78 | Facility | None | $257.04 | $1,096.48 | $3,630.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $512.86 Typical High $1,000.00 | Professional | None (both parts) | $371.54 | $512.86 | $1,000.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $104.71 Typical High $186.21 | Professional | 26 · Professional part | $83.18 | $104.71 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $416.87 Typical High $891.25 | Professional | TC · Technical part | $281.84 | $416.87 | $891.25 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $1,230.27 Typical High $2,137.96 | Facility | None | $912.01 | $1,230.27 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $436.52 Median $537.03 Typical High $851.14 | Professional | None (both parts) | $436.52 | $537.03 | $851.14 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $107.15 Typical High $162.18 | Professional | 26 · Professional part | $83.18 | $107.15 | $162.18 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $446.68 Typical High $691.83 | Professional | TC · Technical part | $363.08 | $446.68 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $426.58 Median $588.84 Typical High $1,318.26 | Professional | None (both parts) | $426.58 | $588.84 | $1,318.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $102.33 Typical High $173.78 | Professional | 26 · Professional part | $74.13 | $102.33 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $478.63 Typical High $1,071.52 | Professional | TC · Technical part | $354.81 | $478.63 | $1,071.52 |
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 $194.98 Median $218.78 Typical High $234.42 | Professional | 52 · Reduced service | $194.98 | $218.78 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $89.13 Typical High $93.33 | Professional | 53 · Discontinued | $79.43 | $89.13 | $93.33 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $281.84 Median $338.84 Typical High $371.54 | Professional | FX · Film X-ray | $281.84 | $338.84 | $371.54 |
Where Indiana sits
The same service costs 4.6 times more in Alaska than in Texas. 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
$457
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.