How much rates vary
Facilitymedian $135 · 10th to 90th $35 to $355Professionalmedian $35 · 10th to 90th $27 to $59
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 $47.86 Typical High $186.21 | Facility | None | $34.67 | $47.86 | $186.21 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.76 Median $10.47 Typical High $13.49 | Facility | 26 · Professional part | $7.76 | $10.47 | $13.49 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $26.30 Median $33.11 Typical High $45.71 | Facility | TC · Technical part | $26.30 | $33.11 | $45.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $34.67 Typical High $53.70 | Professional | None (both parts) | $30.90 | $34.67 | $53.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $7.76 Typical High $12.59 | Professional | 26 · Professional part | $7.24 | $7.76 | $12.59 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $26.30 Typical High $40.74 | Professional | TC · Technical part | $22.91 | $26.30 | $40.74 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None (both parts) | $35.48 | $35.48 | $35.48 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | 26 · Professional part | $7.94 | $7.94 | $7.94 |
Anthem BCBS Setting Facility Modifier None Typical Low $30.20 Median $186.21 Typical High $269.15 | Facility | None | $30.20 | $186.21 | $269.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $25.70 Median $30.20 Typical High $42.66 | Professional | None (both parts) | $25.70 | $30.20 | $42.66 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $11.48 Typical High $15.49 | Professional | 26 · Professional part | $7.94 | $11.48 | $15.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $19.05 Typical High $29.51 | Professional | TC · Technical part | $16.22 | $19.05 | $29.51 |
CareSource Setting Facility Modifier None Typical Low $8.51 Median $27.54 Typical High $36.31 | Facility | None | $8.51 | $27.54 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $199.53 Typical High $251.19 | Facility | None | $70.79 | $199.53 | $251.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $38.02 Typical High $70.79 | Professional | None (both parts) | $30.90 | $38.02 | $70.79 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $10.00 Typical High $15.49 | Professional | 26 · Professional part | $7.76 | $10.00 | $15.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $25.70 Typical High $54.95 | Professional | TC · Technical part | $22.39 | $25.70 | $54.95 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $104.71 Median $912.01 Typical High $2,137.96 | Facility | None | $104.71 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $37.15 Median $45.71 Typical High $67.61 | Professional | None (both parts) | $37.15 | $45.71 | $67.61 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $10.47 Typical High $15.85 | Professional | 26 · Professional part | $8.51 | $10.47 | $15.85 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $35.48 Typical High $51.29 | Professional | TC · Technical part | $28.18 | $35.48 | $51.29 |
United Setting Professional Modifier None (both parts) Typical Low $28.84 Median $37.15 Typical High $66.07 | Professional | None (both parts) | $28.84 | $37.15 | $66.07 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $9.12 Typical High $15.49 | Professional | 26 · Professional part | $7.59 | $9.12 | $15.49 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $27.54 Typical High $48.98 | Professional | TC · Technical part | $20.42 | $27.54 | $48.98 |
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 $15.85 Median $16.98 Typical High $18.20 | Professional | 52 · Reduced service | $15.85 | $16.98 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.92 Typical High $7.41 | Professional | 53 · Discontinued | $6.31 | $6.92 | $7.41 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $23.44 Median $28.18 Typical High $29.51 | Professional | FX · Film X-ray | $23.44 | $28.18 | $29.51 |
Where Indiana sits
The same service costs 3.9 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
$34.67
AK $112FL $28.84
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.