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 $977.24 Median $977.24 Typical High $977.24 | Facility | None | $977.24 | $977.24 | $977.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $831.76 Median $933.25 Typical High $977.24 | Professional | None (both parts) | $831.76 | $933.25 | $977.24 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $100.00 Typical High $102.33 | Professional | 26 · Professional part | $91.20 | $100.00 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $831.76 Typical High $891.25 | Professional | TC · Technical part | $741.31 | $831.76 | $891.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $295.12 Median $2,137.96 Typical High $2,818.38 | Facility | None | $295.12 | $2,137.96 | $2,818.38 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $251.19 Median $295.12 Typical High $954.99 | Professional | None (both parts) | $251.19 | $295.12 | $954.99 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $138.04 Typical High $190.55 | Professional | 26 · Professional part | $95.50 | $138.04 | $190.55 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $158.49 Typical High $870.96 | Professional | TC · Technical part | $134.90 | $158.49 | $870.96 |
CareSource Setting Facility Modifier None Typical Low $102.33 Median $794.33 Typical High $891.25 | Facility | None | $102.33 | $794.33 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $870.96 Typical High $2,630.27 | Facility | None | $346.74 | $870.96 | $2,630.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $776.25 Typical High $1,513.56 | Professional | None (both parts) | $302.00 | $776.25 | $1,513.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $125.89 Typical High $218.78 | Professional | 26 · Professional part | $100.00 | $125.89 | $218.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $676.08 Typical High $1,445.44 | Professional | TC · Technical part | $173.78 | $676.08 | $1,445.44 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $954.99 Typical High $2,884.03 | Facility | None | $912.01 | $954.99 | $2,884.03 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,174.90 Typical High $1,819.70 | Professional | None (both parts) | $912.01 | $1,174.90 | $1,819.70 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $120.23 Typical High $186.21 | Professional | 26 · Professional part | $100.00 | $120.23 | $186.21 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $1,047.13 Typical High $1,621.81 | Professional | TC · Technical part | $851.14 | $1,047.13 | $1,621.81 |
United Setting Professional Modifier None (both parts) Typical Low $562.34 Median $954.99 Typical High $1,737.80 | Professional | None (both parts) | $562.34 | $954.99 | $1,737.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $125.89 Typical High $208.93 | Professional | 26 · Professional part | $95.50 | $125.89 | $208.93 |
United Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $831.76 Typical High $1,548.82 | Professional | TC · Technical part | $478.63 | $831.76 | $1,548.82 |
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 $416.87 Median $467.74 Typical High $489.78 | Professional | 52 · Reduced service | $416.87 | $467.74 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $186.21 Typical High $199.53 | Professional | 53 · Discontinued | $165.96 | $186.21 | $199.53 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $616.60 Median $724.44 Typical High $794.33 | Professional | FX · Film X-ray | $616.60 | $724.44 | $794.33 |
Where Indiana sits
The same service costs 5.5 times more in Alaska than in Indiana. 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· 51st of 51
$692
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.