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 $93.33 Median $117.49 Typical High $162.18 | Facility | None | $93.33 | $117.49 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $87.10 Typical High $138.04 | Professional | None | $61.66 | $87.10 | $138.04 |
Ambetter Setting Professional Modifier None Typical Low $67.61 Median $74.13 Typical High $128.82 | Professional | None | $67.61 | $74.13 | $128.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $245.47 | Facility | None | $128.82 | $128.82 | $245.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $85.11 Median $128.82 Typical High $186.21 | Professional | None | $85.11 | $128.82 | $186.21 |
CareSource Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
CareSource Setting Professional Modifier None Typical Low $81.28 Median $89.13 Typical High $109.65 | Professional | None | $81.28 | $89.13 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $426.58 Typical High $1,230.27 | Facility | None | $91.20 | $426.58 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $125.89 Typical High $229.09 | Professional | None | $70.79 | $125.89 | $229.09 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $114.82 Median $281.84 Typical High $2,137.96 | Facility | None | $114.82 | $281.84 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $85.11 Median $109.65 Typical High $177.83 | Professional | None | $85.11 | $109.65 | $177.83 |
United Setting Professional Modifier None Typical Low $56.23 Median $97.72 Typical High $213.80 | Professional | None | $56.23 | $97.72 | $213.80 |
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 $38.90 Median $41.69 Typical High $43.65 | Professional | 52 · Reduced service | $38.90 | $41.69 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $16.60 Typical High $17.38 | Professional | 53 · Discontinued | $15.49 | $16.60 | $17.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $50.12 Median $66.07 Typical High $69.18 | Professional | FX · Film X-ray | $50.12 | $66.07 | $69.18 |
Where Indiana sits
The same service costs 4.5 times more in Alaska than in Kentucky. 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· 27th of 51
$112
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.