How much rates vary
Facilitymedian $912 · 10th to 90th $324 to $2,089Professionalmedian $398 · 10th to 90th $302 to $692
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 $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $416.87 Typical High $436.52 | Professional | None (both parts) | $380.19 | $416.87 | $436.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $204.17 Typical High $218.78 | Professional | 26 · Professional part | $181.97 | $204.17 | $218.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $208.93 Typical High $218.78 | Professional | TC · Technical part | $194.98 | $208.93 | $218.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $323.59 Median $562.34 Typical High $1,698.24 | Facility | None | $323.59 | $562.34 | $1,698.24 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $275.42 Median $323.59 Typical High $489.78 | Professional | None (both parts) | $275.42 | $323.59 | $489.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $245.47 Typical High $346.74 | Professional | 26 · Professional part | $194.98 | $245.47 | $346.74 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $79.43 Typical High $204.17 | Professional | TC · Technical part | $67.61 | $79.43 | $204.17 |
CareSource Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $416.87 | Facility | None | $208.93 | $208.93 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $691.83 Typical High $2,238.72 | Facility | None | $275.42 | $691.83 | $2,238.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $436.52 Typical High $724.44 | Professional | None (both parts) | $323.59 | $436.52 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $245.47 Typical High $407.38 | Professional | 26 · Professional part | $194.98 | $245.47 | $407.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $190.55 Typical High $354.81 | Professional | TC · Technical part | $107.15 | $190.55 | $354.81 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $1,202.26 Typical High $2,137.96 | Facility | None | $912.01 | $1,202.26 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $407.38 Median $524.81 Typical High $831.76 | Professional | None (both parts) | $407.38 | $524.81 | $831.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $263.03 Typical High $398.11 | Professional | 26 · Professional part | $204.17 | $263.03 | $398.11 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $269.15 Typical High $426.58 | Professional | TC · Technical part | $213.80 | $269.15 | $426.58 |
United Setting Professional Modifier None (both parts) Typical Low $331.13 Median $457.09 Typical High $831.76 | Professional | None (both parts) | $331.13 | $457.09 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $239.88 Typical High $426.58 | Professional | 26 · Professional part | $181.97 | $239.88 | $426.58 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $223.87 Typical High $398.11 | Professional | TC · Technical part | $147.91 | $223.87 | $398.11 |
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 Professional Modifier 52 · Reduced service Typical Low $190.55 Median $208.93 Typical High $218.78 | Professional | 52 · Reduced service | $190.55 | $208.93 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $83.18 Typical High $87.10 | Professional | 53 · Discontinued | $75.86 | $83.18 | $87.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $288.40 Typical High $309.03 | Professional | 78 · Unplanned return to OR | $269.15 | $288.40 | $309.03 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $257.04 Median $316.23 Typical High $346.74 | Professional | FX · Film X-ray | $257.04 | $316.23 | $346.74 |
Where Indiana sits
The same service costs 5.6 times more in Alaska than in Florida. 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· 44th of 51
$398
AK $1,698FL $302
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.