How much rates vary
Facilitymedian $117 · 10th to 90th $29 to $912Professionalmedian $29 · 10th to 90th $23 to $46
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $29.51 Median $44.67 Typical High $257.04 | Facility | None | $29.51 | $44.67 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $29.51 Typical High $44.67 | Professional | None (both parts) | $26.30 | $29.51 | $44.67 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.13 Typical High $12.02 | Professional | 26 · Professional part | $7.41 | $8.13 | $12.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $21.38 Typical High $30.90 | Professional | TC · Technical part | $18.62 | $21.38 | $30.90 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None (both parts) | $25.70 | $25.70 | $25.70 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $6.61 Typical High $6.61 | Professional | 26 · Professional part | $6.61 | $6.61 | $6.61 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.12 Median $186.21 Typical High $309.03 | Facility | None | $25.12 | $186.21 | $309.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $22.91 Median $26.92 Typical High $36.31 | Professional | None (both parts) | $22.91 | $26.92 | $36.31 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $11.48 Typical High $15.14 | Professional | 26 · Professional part | $8.32 | $11.48 | $15.14 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $34.67 Median $40.74 Typical High $57.54 | Professional | 50 · Both sides | $34.67 | $40.74 | $57.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $15.85 Typical High $23.99 | Professional | TC · Technical part | $13.49 | $15.85 | $23.99 |
CareSource Setting Facility Modifier None Typical Low $8.91 Median $22.91 Typical High $31.62 | Facility | None | $8.91 | $22.91 | $31.62 |
CareSource Setting Professional Modifier None (both parts) Typical Low $8.13 Median $21.88 Typical High $37.15 | Professional | None (both parts) | $8.13 | $21.88 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $75.86 Typical High $251.19 | Facility | None | $54.95 | $75.86 | $251.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $32.36 Typical High $53.70 | Professional | None (both parts) | $26.92 | $32.36 | $53.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $10.00 Typical High $15.14 | Professional | 26 · Professional part | $8.13 | $10.00 | $15.14 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $21.38 Typical High $37.15 | Professional | TC · Technical part | $17.78 | $21.38 | $37.15 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $91.20 Median $912.01 Typical High $2,137.96 | Facility | None | $91.20 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $31.62 Median $38.90 Typical High $58.88 | Professional | None (both parts) | $31.62 | $38.90 | $58.88 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.72 Typical High $16.22 | Professional | 26 · Professional part | $8.91 | $10.72 | $16.22 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $28.84 Typical High $42.66 | Professional | TC · Technical part | $22.91 | $28.84 | $42.66 |
United Setting Professional Modifier None (both parts) Typical Low $25.12 Median $31.62 Typical High $54.95 | Professional | None (both parts) | $25.12 | $31.62 | $54.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $9.12 Typical High $15.85 | Professional | 26 · Professional part | $7.41 | $9.12 | $15.85 |
United Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $22.91 Typical High $39.81 | Professional | TC · Technical part | $17.38 | $22.91 | $39.81 |
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 $13.49 Median $14.79 Typical High $15.49 | Professional | 52 · Reduced service | $13.49 | $14.79 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $5.89 Typical High $6.31 | Professional | 53 · Discontinued | $5.50 | $5.89 | $6.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $20.89 Median $23.99 Typical High $25.12 | Professional | FX · Film X-ray | $20.89 | $23.99 | $25.12 |
Where Indiana sits
The same service costs 4.1 times more in Alaska than in New York. 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· 47th of 51
$29.51
AK $95.50NY $23.44
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.