How much rates vary
Facilitymedian $245 · 10th to 90th $48 to $1,950Professionalmedian $49 · 10th to 90th $26 to $79
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 $54.95 Median $1,122.02 Typical High $1,584.89 | Facility | None | $54.95 | $1,122.02 | $1,584.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $54.95 Typical High $58.88 | Professional | None (both parts) | $51.29 | $54.95 | $58.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $15.85 Typical High $16.60 | Professional | 26 · Professional part | $14.45 | $15.85 | $16.60 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $39.81 Typical High $42.66 | Professional | TC · Technical part | $34.67 | $39.81 | $42.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $41.69 Median $218.78 Typical High $2,238.72 | Facility | None | $41.69 | $218.78 | $2,238.72 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $26.30 Median $47.86 Typical High $63.10 | Professional | None (both parts) | $26.30 | $47.86 | $63.10 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $21.88 Typical High $28.84 | Professional | 26 · Professional part | $16.22 | $21.88 | $28.84 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $26.30 Typical High $41.69 | Professional | TC · Technical part | $22.39 | $26.30 | $41.69 |
CareSource Setting Facility Modifier None Typical Low $17.38 Median $41.69 Typical High $58.88 | Facility | None | $17.38 | $41.69 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $138.04 Typical High $954.99 | Facility | None | $100.00 | $138.04 | $954.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $58.88 Typical High $95.50 | Professional | None (both parts) | $46.77 | $58.88 | $95.50 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $19.05 Typical High $30.20 | Professional | 26 · Professional part | $16.22 | $19.05 | $30.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $36.31 Typical High $66.07 | Professional | TC · Technical part | $27.54 | $36.31 | $66.07 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $173.78 Median $912.01 Typical High $2,137.96 | Facility | None | $173.78 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $58.88 Median $74.13 Typical High $109.65 | Professional | None (both parts) | $58.88 | $74.13 | $109.65 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $21.38 Typical High $32.36 | Professional | 26 · Professional part | $17.78 | $21.38 | $32.36 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $53.70 Typical High $83.18 | Professional | TC · Technical part | $41.69 | $53.70 | $83.18 |
United Setting Professional Modifier None (both parts) Typical Low $44.67 Median $57.54 Typical High $102.33 | Professional | None (both parts) | $44.67 | $57.54 | $102.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $18.20 Typical High $33.11 | Professional | 26 · Professional part | $15.49 | $18.20 | $33.11 |
United Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $38.90 Typical High $69.18 | Professional | TC · Technical part | $27.54 | $38.90 | $69.18 |
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 $25.12 Median $27.54 Typical High $29.51 | Professional | 52 · Reduced service | $25.12 | $27.54 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $11.22 Typical High $11.75 | Professional | 53 · Discontinued | $10.23 | $11.22 | $11.75 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $38.90 Median $45.71 Typical High $46.77 | Professional | FX · Film X-ray | $38.90 | $45.71 | $46.77 |
Where Indiana sits
The same service costs 5.6 times more in Alaska than in Utah. 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· 45th of 51
$48.98
AK $182UT $32.36
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.