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 $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,122.02 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,047.13 Typical High $1,122.02 | Professional | None (both parts) | $933.25 | $1,047.13 | $1,122.02 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $97.72 Typical High $102.33 | Professional | 26 · Professional part | $87.10 | $97.72 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $954.99 Typical High $1,000.00 | Professional | TC · Technical part | $851.14 | $954.99 | $1,000.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $295.12 Median $1,698.24 Typical High $2,238.72 | Facility | None | $295.12 | $1,698.24 | $2,238.72 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $251.19 Median $295.12 Typical High $977.24 | Professional | None (both parts) | $251.19 | $295.12 | $977.24 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $138.04 Typical High $186.21 | Professional | 26 · Professional part | $93.33 | $138.04 | $186.21 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $158.49 Typical High $891.25 | Professional | TC · Technical part | $134.90 | $158.49 | $891.25 |
CareSource Setting Facility Modifier None Typical Low $100.00 Median $912.01 Typical High $1,000.00 | Facility | None | $100.00 | $912.01 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $3,019.95 Typical High $9,772.37 | Facility | None | $295.12 | $3,019.95 | $9,772.37 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $912.01 Typical High $1,778.28 | Professional | None (both parts) | $302.00 | $912.01 | $1,778.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $123.03 Typical High $213.80 | Professional | 26 · Professional part | $93.33 | $123.03 | $213.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $831.76 Typical High $1,659.59 | Professional | TC · Technical part | $173.78 | $831.76 | $1,659.59 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $954.99 Typical High $3,090.30 | Facility | None | $912.01 | $954.99 | $3,090.30 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,288.25 Typical High $1,995.26 | Professional | None (both parts) | $1,000.00 | $1,288.25 | $1,995.26 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $120.23 Typical High $186.21 | Professional | 26 · Professional part | $97.72 | $120.23 | $186.21 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $1,174.90 Typical High $1,819.70 | Professional | TC · Technical part | $912.01 | $1,174.90 | $1,819.70 |
United Setting Professional Modifier None (both parts) Typical Low $724.44 Median $1,202.26 Typical High $2,137.96 | Professional | None (both parts) | $724.44 | $1,202.26 | $2,137.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $123.03 Typical High $204.17 | Professional | 26 · Professional part | $93.33 | $123.03 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $1,071.52 Typical High $1,905.46 | Professional | TC · Technical part | $645.65 | $1,071.52 | $1,905.46 |
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 $467.74 Median $524.81 Typical High $549.54 | Professional | 52 · Reduced service | $467.74 | $524.81 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $208.93 Typical High $223.87 | Professional | 53 · Discontinued | $186.21 | $208.93 | $223.87 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $660.69 Median $812.83 Typical High $891.25 | Professional | FX · Film X-ray | $660.69 | $812.83 | $891.25 |
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
$794
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.