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 Professional Modifier None Typical Low $933.25 Median $2,344.23 Typical High $8,317.64 | Professional | None | $933.25 | $2,344.23 | $8,317.64 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $2,454.71 | Facility | None | $1,288.25 | $1,288.25 | $2,454.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $691.83 Median $1,288.25 Typical High $1,698.24 | Professional | None | $691.83 | $1,288.25 | $1,698.24 |
CareSource Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,122.02 | $1,122.02 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $3,715.35 Typical High $12,022.64 | Facility | None | $851.14 | $3,715.35 | $12,022.64 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,862.09 Typical High $1,905.46 | Professional | None | $1,071.52 | $1,862.09 | $1,905.46 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $2,089.30 Typical High $2,454.71 | Facility | None | $912.01 | $2,089.30 | $2,454.71 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $870.96 Median $1,023.29 Typical High $1,348.96 | Professional | None | $870.96 | $1,023.29 | $1,348.96 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,174.90 Typical High $1,862.09 | Professional | None | $812.83 | $1,174.90 | $1,862.09 |
4 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 Facility Modifier 53 · Discontinued Typical Low $229.09 Median $229.09 Typical High $537.03 | Facility | 53 · Discontinued | $229.09 | $229.09 | $537.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $524.81 Median $549.54 Typical High $575.44 | Professional | 52 · Reduced service | $524.81 | $549.54 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $218.78 Typical High $229.09 | Professional | 53 · Discontinued | $208.93 | $218.78 | $229.09 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $676.08 Median $851.14 Typical High $912.01 | Professional | FX · Film X-ray | $676.08 | $851.14 | $912.01 |
Where Indiana sits
The same service costs 70.8 times more in Alaska than in New York. 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· 37th of 51
$1,288
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.