How much rates vary
Facilitymedian $95 · 10th to 90th $28 to $355Professionalmedian $28 · 10th to 90th $23 to $48
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 $28.18 Median $38.90 Typical High $186.21 | Facility | None | $28.18 | $38.90 | $186.21 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $8.13 Median $10.23 Typical High $14.13 | Facility | 26 · Professional part | $8.13 | $10.23 | $14.13 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $19.95 Median $25.12 Typical High $34.67 | Facility | TC · Technical part | $19.95 | $25.12 | $34.67 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $28.18 Typical High $44.67 | Professional | None (both parts) | $25.70 | $28.18 | $44.67 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.13 Typical High $12.88 | Professional | 26 · Professional part | $7.41 | $8.13 | $12.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $20.42 Typical High $30.90 | Professional | TC · Technical part | $17.78 | $20.42 | $30.90 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $22.91 Median $22.91 Typical High $28.84 | Professional | None (both parts) | $22.91 | $22.91 | $28.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.32 Typical High $12.59 | Professional | 26 · Professional part | $8.32 | $8.32 | $12.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.92 Median $186.21 Typical High $269.15 | Facility | None | $26.92 | $186.21 | $269.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $21.38 Median $26.92 Typical High $38.02 | Professional | None (both parts) | $21.38 | $26.92 | $38.02 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $11.48 Typical High $15.49 | Professional | 26 · Professional part | $8.32 | $11.48 | $15.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $13.18 Median $15.49 Typical High $23.99 | Professional | TC · Technical part | $13.18 | $15.49 | $23.99 |
CareSource Setting Facility Modifier None Typical Low $8.91 Median $21.38 Typical High $30.20 | Facility | None | $8.91 | $21.38 | $30.20 |
CareSource Setting Professional Modifier None (both parts) Typical Low $8.13 Median $20.42 Typical High $35.48 | Professional | None (both parts) | $8.13 | $20.42 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $199.53 Typical High $251.19 | Facility | None | $54.95 | $199.53 | $251.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $32.36 Typical High $58.88 | Professional | None (both parts) | $26.30 | $32.36 | $58.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.00 Typical High $16.22 | Professional | 26 · Professional part | $8.32 | $10.00 | $16.22 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $19.95 Typical High $42.66 | Professional | TC · Technical part | $17.78 | $19.95 | $42.66 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $87.10 Median $912.01 Typical High $2,137.96 | Facility | None | $87.10 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $30.90 Median $38.02 Typical High $56.23 | Professional | None (both parts) | $30.90 | $38.02 | $56.23 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.72 Typical High $16.22 | Professional | 26 · Professional part | $8.91 | $10.72 | $16.22 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $26.92 Typical High $39.81 | Professional | TC · Technical part | $21.88 | $26.92 | $39.81 |
United Setting Professional Modifier None (both parts) Typical Low $24.55 Median $30.90 Typical High $57.54 | Professional | None (both parts) | $24.55 | $30.90 | $57.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.33 Typical High $16.22 | Professional | 26 · Professional part | $7.94 | $9.33 | $16.22 |
United Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $21.88 Typical High $38.90 | Professional | TC · Technical part | $16.22 | $21.88 | $38.90 |
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 $13.18 Median $14.13 Typical High $15.14 | Professional | 52 · Reduced service | $13.18 | $14.13 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $5.62 Typical High $6.03 | Professional | 53 · Discontinued | $5.25 | $5.62 | $6.03 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $19.95 Median $23.44 Typical High $24.55 | Professional | FX · Film X-ray | $19.95 | $23.44 | $24.55 |
Where Indiana sits
The same service costs 4.3 times more in Alaska than in New York. 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· 47th of 51
$28.18
AK $93.33NY $21.88
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.