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 $269.15 Median $537.03 Typical High $776.25 | Facility | None | $269.15 | $537.03 | $776.25 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $239.88 Typical High $257.04 | Professional | None | $194.98 | $239.88 | $257.04 |
Ambetter Setting Professional Modifier None Typical Low $346.74 Median $363.08 Typical High $537.03 | Professional | None | $346.74 | $363.08 | $537.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $575.44 | Facility | None | $162.18 | $162.18 | $575.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $138.04 Median $162.18 Typical High $446.68 | Professional | None | $138.04 | $162.18 | $446.68 |
CareSource Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
CareSource Setting Professional Modifier None Typical Low $199.53 Median $218.78 Typical High $269.15 | Professional | None | $199.53 | $218.78 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $831.76 Typical High $2,454.71 | Facility | None | $295.12 | $831.76 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $269.15 Typical High $870.96 | Professional | None | $125.89 | $269.15 | $870.96 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $602.56 Median $954.99 Typical High $2,137.96 | Facility | None | $602.56 | $954.99 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $165.96 Median $512.86 Typical High $831.76 | Professional | None | $165.96 | $512.86 | $831.76 |
United Setting Professional Modifier None Typical Low $186.21 Median $288.40 Typical High $724.44 | Professional | None | $186.21 | $288.40 | $724.44 |
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 $97.72 Median $114.82 Typical High $120.23 | Professional | 52 · Reduced service | $97.72 | $114.82 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $45.71 Typical High $47.86 | Professional | 53 · Discontinued | $38.90 | $45.71 | $47.86 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $144.54 Median $177.83 Typical High $194.98 | Professional | FX · Film X-ray | $144.54 | $177.83 | $194.98 |
Where Indiana sits
The same service costs 5.1 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· 49th of 51
$240
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.