How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $13.80 Median $18.62 Typical High $29.51 | Facility | None | $13.80 | $18.62 | $29.51 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $13.18 Typical High $15.14 | Professional | None | $9.33 | $13.18 | $15.14 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $48.98 | Facility | None | $25.12 | $25.12 | $48.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $20.42 Median $25.12 Typical High $38.90 | Professional | None | $20.42 | $25.12 | $38.90 |
CareSource Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Facility | None | $15.49 | $15.49 | $15.49 |
CareSource Setting Professional Modifier None Typical Low $14.45 Median $15.85 Typical High $19.50 | Professional | None | $14.45 | $15.85 | $19.50 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $31.62 Typical High $436.52 | Professional | None | $17.38 | $31.62 | $436.52 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $35.48 Median $912.01 Typical High $2,137.96 | Facility | None | $35.48 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $15.14 Median $18.20 Typical High $29.51 | Professional | None | $15.14 | $18.20 | $29.51 |
United Setting Professional Modifier None Typical Low $10.96 Median $16.22 Typical High $30.90 | Professional | None | $10.96 | $16.22 | $30.90 |
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 $6.46 Median $6.92 Typical High $7.24 | Professional | 52 · Reduced service | $6.46 | $6.92 | $7.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $2.75 Typical High $2.88 | Professional | 53 · Discontinued | $2.63 | $2.75 | $2.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $7.59 Median $10.47 Typical High $11.48 | Professional | FX · Film X-ray | $7.59 | $10.47 | $11.48 |
Where Indiana sits
The same service costs 5.5 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· 9th of 51
$25.12
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.