How much rates vary
Facilitymedian $200 · 10th to 90th $51 to $468Professionalmedian $46 · 10th to 90th $38 to $76
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 $51.29 Median $60.26 Typical High $251.19 | Facility | None | $51.29 | $60.26 | $251.19 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $12.59 Median $17.38 Typical High $21.38 | Facility | 26 · Professional part | $12.59 | $17.38 | $21.38 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $30.90 Median $43.65 Typical High $58.88 | Facility | TC · Technical part | $30.90 | $43.65 | $58.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $43.65 Typical High $54.95 | Professional | None (both parts) | $39.81 | $43.65 | $54.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $12.59 Typical High $16.22 | Professional | 26 · Professional part | $11.75 | $12.59 | $16.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $30.90 Typical High $38.02 | Professional | TC · Technical part | $28.18 | $30.90 | $38.02 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None (both parts) | $37.15 | $37.15 | $37.15 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | 26 · Professional part | $10.00 | $10.00 | $10.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $45.71 Median $199.53 Typical High $323.59 | Facility | None | $45.71 | $199.53 | $323.59 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $36.31 Median $45.71 Typical High $64.57 | Professional | None (both parts) | $36.31 | $45.71 | $64.57 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $18.20 Typical High $25.70 | Professional | 26 · Professional part | $12.59 | $18.20 | $25.70 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $27.54 Typical High $43.65 | Professional | TC · Technical part | $23.44 | $27.54 | $43.65 |
CareSource Setting Facility Modifier None Typical Low $13.80 Median $32.36 Typical High $45.71 | Facility | None | $13.80 | $32.36 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $199.53 Typical High $467.74 | Facility | None | $83.18 | $199.53 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $51.29 Typical High $91.20 | Professional | None (both parts) | $43.65 | $51.29 | $91.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $15.85 Typical High $25.12 | Professional | 26 · Professional part | $12.88 | $15.85 | $25.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $35.48 Typical High $64.57 | Professional | TC · Technical part | $28.84 | $35.48 | $64.57 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $131.83 Median $912.01 Typical High $2,137.96 | Facility | None | $131.83 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $46.77 Median $57.54 Typical High $85.11 | Professional | None (both parts) | $46.77 | $57.54 | $85.11 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $16.98 Typical High $25.12 | Professional | 26 · Professional part | $14.13 | $16.98 | $25.12 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $42.66 Typical High $64.57 | Professional | TC · Technical part | $33.88 | $42.66 | $64.57 |
United Setting Professional Modifier None (both parts) Typical Low $39.81 Median $46.77 Typical High $85.11 | Professional | None (both parts) | $39.81 | $46.77 | $85.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $14.79 Typical High $25.12 | Professional | 26 · Professional part | $12.30 | $14.79 | $25.12 |
United Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $33.11 Typical High $58.88 | Professional | TC · Technical part | $26.30 | $33.11 | $58.88 |
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 $19.95 Median $21.38 Typical High $22.91 | Professional | 52 · Reduced service | $19.95 | $21.38 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $8.71 Typical High $9.12 | Professional | 53 · Discontinued | $7.94 | $8.71 | $9.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $30.20 Median $35.48 Typical High $36.31 | Professional | FX · Film X-ray | $30.20 | $35.48 | $36.31 |
Where Indiana sits
The same service costs 4.1 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· 42nd of 51
$45.71
AK $132UT $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.