How much rates vary
Facilitymedian $200 · 10th to 90th $48 to $912Professionalmedian $48 · 10th to 90th $30 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 $39.81 Median $61.66 Typical High $316.23 | Facility | None | $39.81 | $61.66 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $40.74 Typical High $63.10 | Professional | None (both parts) | $37.15 | $40.74 | $63.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $12.59 Typical High $19.50 | Professional | 26 · Professional part | $11.75 | $12.59 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $27.54 Typical High $41.69 | Professional | TC · Technical part | $25.70 | $27.54 | $41.69 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None (both parts) | $53.70 | $53.70 | $53.70 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $12.30 Typical High $12.59 | Professional | 26 · Professional part | $10.00 | $12.30 | $12.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $52.48 Median $199.53 Typical High $323.59 | Facility | None | $52.48 | $199.53 | $323.59 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $30.20 Median $44.67 Typical High $70.79 | Professional | None (both parts) | $30.20 | $44.67 | $70.79 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $21.88 Typical High $28.18 | Professional | 26 · Professional part | $12.59 | $21.88 | $28.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $30.20 Typical High $46.77 | Professional | TC · Technical part | $25.70 | $30.20 | $46.77 |
CareSource Setting Facility Modifier None Typical Low $13.80 Median $29.51 Typical High $43.65 | Facility | None | $13.80 | $29.51 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $199.53 Typical High $467.74 | Facility | None | $75.86 | $199.53 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $57.54 Typical High $100.00 | Professional | None (both parts) | $41.69 | $57.54 | $100.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $18.20 Typical High $27.54 | Professional | 26 · Professional part | $12.88 | $18.20 | $27.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $38.90 Typical High $66.07 | Professional | TC · Technical part | $28.84 | $38.90 | $66.07 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $123.03 Median $912.01 Typical High $2,137.96 | Facility | None | $123.03 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $43.65 Median $54.95 Typical High $85.11 | Professional | None (both parts) | $43.65 | $54.95 | $85.11 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $16.98 Typical High $27.54 | Professional | 26 · Professional part | $14.13 | $16.98 | $27.54 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $38.02 Typical High $57.54 | Professional | TC · Technical part | $30.90 | $38.02 | $57.54 |
United Setting Professional Modifier None (both parts) Typical Low $38.90 Median $50.12 Typical High $91.20 | Professional | None (both parts) | $38.90 | $50.12 | $91.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $17.38 Typical High $28.18 | Professional | 26 · Professional part | $13.18 | $17.38 | $28.18 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $32.36 Typical High $57.54 | Professional | TC · Technical part | $25.70 | $32.36 | $57.54 |
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 $18.62 Median $19.95 Typical High $21.38 | Professional | 52 · Reduced service | $18.62 | $19.95 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $8.13 Typical High $8.51 | Professional | 53 · Discontinued | $7.59 | $8.13 | $8.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $28.18 Median $33.11 Typical High $33.88 | Professional | FX · Film X-ray | $28.18 | $33.11 | $33.88 |
Where Indiana sits
The same service costs 4.0 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· 37th of 51
$48.98
AK $132UT $33.11
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.