How much rates vary
Facilitymedian $186 · 10th to 90th $33 to $912Professionalmedian $32 · 10th to 90th $28 to $52
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 $28.84 Median $51.29 Typical High $257.04 | Facility | None | $28.84 | $51.29 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $28.84 Typical High $38.02 | Professional | None (both parts) | $26.92 | $28.84 | $38.02 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $7.76 Typical High $10.96 | Professional | 26 · Professional part | $7.24 | $7.76 | $10.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $21.38 Typical High $27.54 | Professional | TC · Technical part | $19.50 | $21.38 | $27.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None (both parts) | $30.20 | $30.20 | $30.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $33.11 Median $186.21 Typical High $269.15 | Facility | None | $33.11 | $186.21 | $269.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $25.70 Median $32.36 Typical High $47.86 | Professional | None (both parts) | $25.70 | $32.36 | $47.86 |
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 $17.78 Median $20.89 Typical High $33.11 | Professional | TC · Technical part | $17.78 | $20.89 | $33.11 |
CareSource Setting Facility Modifier None Typical Low $8.51 Median $22.39 Typical High $30.90 | Facility | None | $8.51 | $22.39 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $199.53 Typical High $251.19 | Facility | None | $58.88 | $199.53 | $251.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $38.02 Typical High $66.07 | Professional | None (both parts) | $28.84 | $38.02 | $66.07 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $10.00 Typical High $15.49 | Professional | 26 · Professional part | $7.94 | $10.00 | $15.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $27.54 Typical High $47.86 | Professional | TC · Technical part | $20.42 | $27.54 | $47.86 |
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 $32.36 Median $38.90 Typical High $58.88 | Professional | None (both parts) | $32.36 | $38.90 | $58.88 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $10.72 Typical High $15.85 | Professional | 26 · Professional part | $8.71 | $10.72 | $15.85 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $29.51 Typical High $42.66 | Professional | TC · Technical part | $23.99 | $29.51 | $42.66 |
United Setting Professional Modifier None (both parts) Typical Low $26.92 Median $32.36 Typical High $60.26 | Professional | None (both parts) | $26.92 | $32.36 | $60.26 |
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 $19.05 Median $23.44 Typical High $42.66 | Professional | TC · Technical part | $19.05 | $23.44 | $42.66 |
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 $6.31 | Professional | 53 · Discontinued | $5.37 | $5.75 | $6.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $20.42 Median $23.99 Typical High $24.55 | Professional | FX · Film X-ray | $20.42 | $23.99 | $24.55 |
Where Indiana sits
The same service costs 3.5 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· 41st of 51
$32.36
AK $87.10FL $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.