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 $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $602.56 Median $676.08 Typical High $707.95 | Professional | None (both parts) | $602.56 | $676.08 | $707.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $69.18 Typical High $74.13 | Professional | 26 · Professional part | $61.66 | $69.18 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $602.56 Typical High $630.96 | Professional | TC · Technical part | $524.81 | $602.56 | $630.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $218.78 Median $1,698.24 Typical High $2,238.72 | Facility | None | $218.78 | $1,698.24 | $2,238.72 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $186.21 Median $218.78 Typical High $691.83 | Professional | None (both parts) | $186.21 | $218.78 | $691.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $102.33 Typical High $138.04 | Professional | 26 · Professional part | $66.07 | $102.33 | $138.04 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $117.49 Typical High $616.60 | Professional | TC · Technical part | $100.00 | $117.49 | $616.60 |
CareSource Setting Facility Modifier None Typical Low $70.79 Median $562.34 Typical High $645.65 | Facility | None | $70.79 | $562.34 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $1,862.09 Typical High $6,165.95 | Facility | None | $295.12 | $1,862.09 | $6,165.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $630.96 Typical High $1,174.90 | Professional | None (both parts) | $223.87 | $630.96 | $1,174.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $89.13 Typical High $162.18 | Professional | 26 · Professional part | $66.07 | $89.13 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $549.54 Typical High $1,096.48 | Professional | TC · Technical part | $131.83 | $549.54 | $1,096.48 |
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 $660.69 Median $851.14 Typical High $1,318.26 | Professional | None (both parts) | $660.69 | $851.14 | $1,318.26 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $85.11 Typical High $131.83 | Professional | 26 · Professional part | $70.79 | $85.11 | $131.83 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $758.58 Typical High $1,174.90 | Professional | TC · Technical part | $616.60 | $758.58 | $1,174.90 |
United Setting Professional Modifier None (both parts) Typical Low $512.86 Median $794.33 Typical High $1,445.44 | Professional | None (both parts) | $512.86 | $794.33 | $1,445.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $89.13 Typical High $144.54 | Professional | 26 · Professional part | $66.07 | $89.13 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $724.44 Typical High $1,288.25 | Professional | TC · Technical part | $457.09 | $724.44 | $1,288.25 |
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 $295.12 Median $338.84 Typical High $354.81 | Professional | 52 · Reduced service | $295.12 | $338.84 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $134.90 Typical High $141.25 | Professional | 53 · Discontinued | $120.23 | $134.90 | $141.25 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $426.58 Median $512.86 Typical High $562.34 | Professional | FX · Film X-ray | $426.58 | $512.86 | $562.34 |
Where Indiana sits
The same service costs 5.1 times more in Alaska than in Texas. 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
$537
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.