How much rates vary
Facilitymedian $69 · 10th to 90th $21 to $912Professionalmedian $26 · 10th to 90th $15 to $43
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 $16.22 Median $25.12 Typical High $186.21 | Facility | None | $16.22 | $25.12 | $186.21 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $11.22 Median $13.49 Typical High $14.45 | Facility | 26 · Professional part | $11.22 | $13.49 | $14.45 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $7.24 Median $11.75 Typical High $16.22 | Facility | TC · Technical part | $7.24 | $11.75 | $16.22 |
Aetna Setting Professional Modifier None (both parts) Typical Low $15.85 Median $16.22 Typical High $21.88 | Professional | None (both parts) | $15.85 | $16.22 | $21.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $9.12 Typical High $11.75 | Professional | 26 · Professional part | $8.71 | $9.12 | $11.75 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $6.92 Median $7.24 Typical High $10.23 | Professional | TC · Technical part | $6.92 | $7.24 | $10.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | None (both parts) | $15.49 | $15.49 | $15.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $27.54 Median $199.53 Typical High $309.03 | Facility | None | $27.54 | $199.53 | $309.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $18.20 Median $30.90 Typical High $43.65 | Professional | None (both parts) | $18.20 | $30.90 | $43.65 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $13.18 Typical High $18.20 | Professional | 26 · Professional part | $9.55 | $13.18 | $18.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $8.51 Median $17.38 Typical High $26.30 | Professional | TC · Technical part | $8.51 | $17.38 | $26.30 |
CareSource Setting Facility Modifier None Typical Low $8.51 Median $10.23 Typical High $18.62 | Facility | None | $8.51 | $10.23 | $18.62 |
CareSource Setting Professional Modifier None (both parts) Typical Low $7.94 Median $11.22 Typical High $21.38 | Professional | None (both parts) | $7.94 | $11.22 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $199.53 Typical High $251.19 | Facility | None | $21.88 | $199.53 | $251.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $17.78 Median $32.36 Typical High $53.70 | Professional | None (both parts) | $17.78 | $32.36 | $53.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $11.48 Typical High $19.05 | Professional | 26 · Professional part | $9.33 | $11.48 | $19.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $7.76 Median $17.38 Typical High $28.84 | Professional | TC · Technical part | $7.76 | $17.38 | $28.84 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $54.95 Median $912.01 Typical High $2,137.96 | Facility | None | $54.95 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $19.05 Median $23.99 Typical High $37.15 | Professional | None (both parts) | $19.05 | $23.99 | $37.15 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $12.88 Typical High $19.05 | Professional | 26 · Professional part | $10.23 | $12.88 | $19.05 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $8.71 Median $10.96 Typical High $17.38 | Professional | TC · Technical part | $8.71 | $10.96 | $17.38 |
United Setting Professional Modifier None (both parts) Typical Low $17.38 Median $23.44 Typical High $42.66 | Professional | None (both parts) | $17.38 | $23.44 | $42.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $11.22 Typical High $18.62 | Professional | 26 · Professional part | $9.12 | $11.22 | $18.62 |
United Setting Professional Modifier TC · Technical part Typical Low $7.76 Median $10.96 Typical High $22.91 | Professional | TC · Technical part | $7.76 | $10.96 | $22.91 |
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 $7.76 Median $8.13 Typical High $8.91 | Professional | 52 · Reduced service | $7.76 | $8.13 | $8.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.24 Typical High $3.55 | Professional | 53 · Discontinued | $3.16 | $3.24 | $3.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $12.30 Median $13.80 Typical High $13.80 | Professional | FX · Film X-ray | $12.30 | $13.80 | $13.80 |
Where Indiana sits
The same service costs 3.6 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· 24th of 51
$26.30
AK $56.23FL $15.49
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.