How much rates vary
Facilitymedian $91 · 10th to 90th $33 to $912Professionalmedian $33 · 10th to 90th $25 to $51
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 $34.67 Median $40.74 Typical High $186.21 | Facility | None | $34.67 | $40.74 | $186.21 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $8.91 Median $12.88 Typical High $16.22 | Facility | 26 · Professional part | $8.91 | $12.88 | $16.22 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $19.95 Median $28.18 Typical High $38.90 | Facility | TC · Technical part | $19.95 | $28.18 | $38.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $28.84 Typical High $36.31 | Professional | None (both parts) | $26.92 | $28.84 | $36.31 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.91 Typical High $11.48 | Professional | 26 · Professional part | $8.32 | $8.91 | $11.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $19.95 Typical High $24.55 | Professional | TC · Technical part | $18.20 | $19.95 | $24.55 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | None (both parts) | $23.99 | $23.99 | $23.99 |
Anthem BCBS Setting Facility Modifier None Typical Low $32.36 Median $186.21 Typical High $309.03 | Facility | None | $32.36 | $186.21 | $309.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $17.38 Median $33.11 Typical High $47.86 | Professional | None (both parts) | $17.38 | $33.11 | $47.86 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $12.88 Typical High $17.38 | Professional | 26 · Professional part | $9.33 | $12.88 | $17.38 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $20.42 Typical High $30.90 | Professional | TC · Technical part | $17.38 | $20.42 | $30.90 |
CareSource Setting Facility Modifier None Typical Low $10.00 Median $20.89 Typical High $30.90 | Facility | None | $10.00 | $20.89 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $69.18 Typical High $251.19 | Facility | None | $50.12 | $69.18 | $251.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $38.90 Typical High $58.88 | Professional | None (both parts) | $28.84 | $38.90 | $58.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.72 Typical High $17.38 | Professional | 26 · Professional part | $8.91 | $10.72 | $17.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $26.92 Typical High $38.90 | Professional | TC · Technical part | $19.50 | $26.92 | $38.90 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $89.13 Median $912.01 Typical High $2,137.96 | Facility | None | $89.13 | $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 $57.54 | Professional | None (both parts) | $31.62 | $38.90 | $57.54 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.30 Typical High $18.20 | Professional | 26 · Professional part | $9.77 | $12.30 | $18.20 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $27.54 Typical High $39.81 | Professional | TC · Technical part | $22.39 | $27.54 | $39.81 |
United Setting Professional Modifier None (both parts) Typical Low $26.92 Median $33.11 Typical High $56.23 | Professional | None (both parts) | $26.92 | $33.11 | $56.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $10.47 Typical High $19.05 | Professional | 26 · Professional part | $8.71 | $10.47 | $19.05 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $21.88 Typical High $37.15 | Professional | TC · Technical part | $17.78 | $21.88 | $37.15 |
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 $14.45 Typical High $15.49 | Professional | 52 · Reduced service | $13.49 | $14.45 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.75 Typical High $6.17 | Professional | 53 · Discontinued | $5.37 | $5.75 | $6.17 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $19.95 Median $23.99 Typical High $24.55 | Professional | FX · Film X-ray | $19.95 | $23.99 | $24.55 |
Where Indiana sits
The same service costs 3.8 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· 36th of 51
$33.11
AK $95.50FL $25.12
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.