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 $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $512.86 Typical High $549.54 | Professional | None (both parts) | $416.87 | $512.86 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $70.79 Typical High $75.86 | Professional | 26 · Professional part | $61.66 | $70.79 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $446.68 Typical High $467.74 | Professional | TC · Technical part | $363.08 | $446.68 | $467.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $218.78 Median $1,174.90 Typical High $1,584.89 | Facility | None | $218.78 | $1,174.90 | $1,584.89 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $186.21 Median $218.78 Typical High $512.86 | Professional | None (both parts) | $186.21 | $218.78 | $512.86 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $102.33 Typical High $138.04 | Professional | 26 · Professional part | $67.61 | $102.33 | $138.04 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $117.49 Typical High $446.68 | Professional | TC · Technical part | $100.00 | $117.49 | $446.68 |
CareSource Setting Facility Modifier None Typical Low $72.44 Median $446.68 Typical High $512.86 | Facility | None | $72.44 | $446.68 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $501.19 Typical High $1,479.11 | Facility | None | $263.03 | $501.19 | $1,479.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $389.05 Typical High $812.83 | Professional | None (both parts) | $229.09 | $389.05 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $89.13 Typical High $162.18 | Professional | 26 · Professional part | $67.61 | $89.13 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $380.19 Typical High $741.31 | Professional | TC · Technical part | $131.83 | $380.19 | $741.31 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $954.99 Typical High $2,137.96 | Facility | None | $912.01 | $954.99 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $512.86 Median $660.69 Typical High $1,023.29 | Professional | None (both parts) | $512.86 | $660.69 | $1,023.29 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $87.10 Typical High $134.90 | Professional | 26 · Professional part | $70.79 | $87.10 | $134.90 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $575.44 Typical High $891.25 | Professional | TC · Technical part | $446.68 | $575.44 | $891.25 |
United Setting Professional Modifier None (both parts) Typical Low $338.84 Median $524.81 Typical High $954.99 | Professional | None (both parts) | $338.84 | $524.81 | $954.99 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $91.20 Typical High $147.91 | Professional | 26 · Professional part | $67.61 | $91.20 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $436.52 Typical High $812.83 | Professional | TC · Technical part | $251.19 | $436.52 | $812.83 |
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 $239.88 Median $257.04 Typical High $275.42 | Professional | 52 · Reduced service | $239.88 | $257.04 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $102.33 Typical High $109.65 | Professional | 53 · Discontinued | $95.50 | $102.33 | $109.65 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $309.03 Median $398.11 Typical High $436.52 | Professional | FX · Film X-ray | $309.03 | $398.11 | $436.52 |
Where Indiana sits
The same service costs 6.3 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· 50th of 51
$380
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.