How much rates vary
Facilitymedian $295 · 10th to 90th $115 to $1,202Professionalmedian $195 · 10th to 90th $100 to $302
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 $109.65 Median $190.55 Typical High $1,288.25 | Facility | None | $109.65 | $190.55 | $1,288.25 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $41.69 Median $48.98 Typical High $72.44 | Facility | 26 · Professional part | $41.69 | $48.98 | $72.44 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $67.61 Median $81.28 Typical High $117.49 | Facility | TC · Technical part | $67.61 | $81.28 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $114.82 Typical High $275.42 | Professional | None (both parts) | $107.15 | $114.82 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $42.66 Typical High $72.44 | Professional | 26 · Professional part | $39.81 | $42.66 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $74.13 Typical High $177.83 | Professional | TC · Technical part | $66.07 | $74.13 | $177.83 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $100.00 | Professional | None (both parts) | $79.43 | $79.43 | $100.00 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $36.31 Typical High $54.95 | Professional | 26 · Professional part | $30.20 | $36.31 | $54.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $218.78 Median $257.04 Typical High $724.44 | Facility | None | $218.78 | $257.04 | $724.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $100.00 Median $218.78 Typical High $302.00 | Professional | None (both parts) | $100.00 | $218.78 | $302.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $54.95 Typical High $75.86 | Professional | 26 · Professional part | $38.02 | $54.95 | $75.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $162.18 Typical High $239.88 | Professional | TC · Technical part | $61.66 | $162.18 | $239.88 |
CareSource Setting Facility Modifier None Typical Low $41.69 Median $64.57 Typical High $104.71 | Facility | None | $41.69 | $64.57 | $104.71 |
CareSource Setting Professional Modifier None (both parts) Typical Low $37.15 Median $63.10 Typical High $123.03 | Professional | None (both parts) | $37.15 | $63.10 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $724.44 Typical High $724.44 | Facility | None | $165.96 | $724.44 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $229.09 Typical High $371.54 | Professional | None (both parts) | $104.71 | $229.09 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $48.98 Typical High $91.20 | Professional | 26 · Professional part | $38.02 | $48.98 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $154.88 Typical High $257.04 | Professional | TC · Technical part | $64.57 | $154.88 | $257.04 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $234.42 Median $331.13 Typical High $2,089.30 | Facility | None | $234.42 | $331.13 | $2,089.30 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $117.49 Median $151.36 Typical High $213.80 | Professional | None (both parts) | $117.49 | $151.36 | $213.80 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $56.23 Typical High $75.86 | Professional | 26 · Professional part | $44.67 | $56.23 | $75.86 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $95.50 Typical High $134.90 | Professional | TC · Technical part | $74.13 | $95.50 | $134.90 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $162.18 Typical High $302.00 | Professional | None (both parts) | $104.71 | $162.18 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $44.67 Typical High $85.11 | Professional | 26 · Professional part | $37.15 | $44.67 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $102.33 Typical High $208.93 | Professional | TC · Technical part | $64.57 | $102.33 | $208.93 |
4 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 $53.70 Median $53.70 Typical High $69.18 | Professional | 52 · Reduced service | $53.70 | $53.70 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.88 Typical High $27.54 | Professional | 53 · Discontinued | $21.38 | $21.88 | $27.54 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $87.10 Median $97.72 Typical High $112.20 | Professional | CT · Older CT scanner | $87.10 | $97.72 | $112.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $81.28 Median $93.33 Typical High $104.71 | Professional | FX · Film X-ray | $81.28 | $93.33 | $104.71 |
Where Indiana sits
The same service costs 20.4 times more in Vermont 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· 22nd of 51
$195
VT $1,585UT $77.62
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.