How much rates vary
Facilitymedian $186 · 10th to 90th $51 to $912Professionalmedian $48 · 10th to 90th $39 to $85
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 $47.86 Median $95.50 Typical High $257.04 | Facility | None | $47.86 | $95.50 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $47.86 Typical High $60.26 | Professional | None (both parts) | $43.65 | $47.86 | $60.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $10.72 Typical High $13.49 | Professional | 26 · Professional part | $9.77 | $10.72 | $13.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $37.15 Typical High $45.71 | Professional | TC · Technical part | $33.11 | $37.15 | $45.71 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $10.72 Typical High $20.42 | Professional | 26 · Professional part | $10.72 | $10.72 | $20.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $47.86 Median $199.53 Typical High $269.15 | Facility | None | $47.86 | $199.53 | $269.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $38.90 Median $45.71 Typical High $66.07 | Professional | None (both parts) | $38.90 | $45.71 | $66.07 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $15.85 Typical High $21.38 | Professional | 26 · Professional part | $10.96 | $15.85 | $21.38 |
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 $11.75 Median $38.90 Typical High $51.29 | Facility | None | $11.75 | $38.90 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $199.53 Typical High $251.19 | Facility | None | $95.50 | $199.53 | $251.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $54.95 Typical High $100.00 | Professional | None (both parts) | $46.77 | $54.95 | $100.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $13.49 Typical High $21.38 | Professional | 26 · Professional part | $10.96 | $13.49 | $21.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $38.90 Typical High $79.43 | Professional | TC · Technical part | $33.11 | $38.90 | $79.43 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $151.36 Median $912.01 Typical High $2,137.96 | Facility | None | $151.36 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $52.48 Median $64.57 Typical High $95.50 | Professional | None (both parts) | $52.48 | $64.57 | $95.50 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $14.45 Typical High $21.38 | Professional | 26 · Professional part | $12.02 | $14.45 | $21.38 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $50.12 Typical High $75.86 | Professional | TC · Technical part | $41.69 | $50.12 | $75.86 |
United Setting Professional Modifier None (both parts) Typical Low $42.66 Median $52.48 Typical High $95.50 | Professional | None (both parts) | $42.66 | $52.48 | $95.50 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $12.88 Typical High $21.88 | Professional | 26 · Professional part | $10.72 | $12.88 | $21.88 |
United Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $39.81 Typical High $70.79 | Professional | TC · Technical part | $30.90 | $39.81 | $70.79 |
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 $21.88 Median $23.99 Typical High $25.12 | Professional | 52 · Reduced service | $21.88 | $23.99 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $9.55 Typical High $10.00 | Professional | 53 · Discontinued | $8.91 | $9.55 | $10.00 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $33.11 Median $38.90 Typical High $40.74 | Professional | FX · Film X-ray | $33.11 | $38.90 | $40.74 |
Where Indiana sits
The same service costs 4.5 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· 44th of 51
$48.98
AK $148UT $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.