How much rates vary
Facilitymedian $316 · 10th to 90th $102 to $955Professionalmedian $120 · 10th to 90th $93 to $182
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 $97.72 Median $524.81 Typical High $707.95 | Facility | None | $97.72 | $524.81 | $707.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $97.72 Typical High $102.33 | Professional | None (both parts) | $89.13 | $97.72 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $38.02 Typical High $40.74 | Professional | 26 · Professional part | $34.67 | $38.02 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $60.26 Typical High $64.57 | Professional | TC · Technical part | $53.70 | $60.26 | $64.57 |
Anthem BCBS Setting Facility Modifier None Typical Low $104.71 Median $398.11 Typical High $977.24 | Facility | None | $104.71 | $398.11 | $977.24 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $95.50 Median $120.23 Typical High $169.82 | Professional | None (both parts) | $95.50 | $120.23 | $169.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $53.70 Typical High $72.44 | Professional | 26 · Professional part | $39.81 | $53.70 | $72.44 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $66.07 Typical High $97.72 | Professional | TC · Technical part | $52.48 | $66.07 | $97.72 |
CareSource Setting Facility Modifier None Typical Low $42.66 Median $66.07 Typical High $109.65 | Facility | None | $42.66 | $66.07 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $173.78 Typical High $954.99 | Facility | None | $100.00 | $173.78 | $954.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $138.04 Typical High $199.53 | Professional | None (both parts) | $95.50 | $138.04 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $47.86 Typical High $77.62 | Professional | 26 · Professional part | $39.81 | $47.86 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $85.11 Typical High $114.82 | Professional | TC · Technical part | $51.29 | $85.11 | $114.82 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $316.23 Median $912.01 Typical High $2,137.96 | Facility | None | $316.23 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $109.65 Median $134.90 Typical High $204.17 | Professional | None (both parts) | $109.65 | $134.90 | $204.17 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $53.70 Typical High $77.62 | Professional | 26 · Professional part | $42.66 | $53.70 | $77.62 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $83.18 Typical High $128.82 | Professional | TC · Technical part | $69.18 | $83.18 | $128.82 |
United Setting Professional Modifier None (both parts) Typical Low $89.13 Median $109.65 Typical High $194.98 | Professional | None (both parts) | $89.13 | $109.65 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $44.67 Typical High $79.43 | Professional | 26 · Professional part | $37.15 | $44.67 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $66.07 Typical High $114.82 | Professional | TC · Technical part | $50.12 | $66.07 | $114.82 |
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 $44.67 Median $48.98 Typical High $51.29 | Professional | 52 · Reduced service | $44.67 | $48.98 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $19.50 Typical High $20.89 | Professional | 53 · Discontinued | $17.78 | $19.50 | $20.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $70.79 Median $81.28 Typical High $83.18 | Professional | FX · Film X-ray | $70.79 | $81.28 | $83.18 |
Where Indiana sits
The same service costs 4.4 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· 30th of 51
$120
AK $324UT $74.13
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.