How much rates vary
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 $199.53 Median $309.03 Typical High $1,288.25 | Facility | None | $199.53 | $309.03 | $1,288.25 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $61.66 Median $74.13 Typical High $107.15 | Facility | 26 · Professional part | $61.66 | $74.13 | $107.15 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $117.49 Median $147.91 Typical High $199.53 | Facility | TC · Technical part | $117.49 | $147.91 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $190.55 Typical High $323.59 | Professional | None (both parts) | $173.78 | $190.55 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $61.66 Typical High $83.18 | Professional | 26 · Professional part | $58.88 | $61.66 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $120.23 Typical High $218.78 | Professional | TC · Technical part | $112.20 | $120.23 | $218.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None (both parts) | $162.18 | $162.18 | $162.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $56.23 Typical High $85.11 | Professional | 26 · Professional part | $53.70 | $56.23 | $85.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $331.13 Median $416.87 Typical High $724.44 | Facility | None | $331.13 | $416.87 | $724.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $162.18 Median $331.13 Typical High $446.68 | Professional | None (both parts) | $162.18 | $331.13 | $446.68 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $81.28 Typical High $112.20 | Professional | 26 · Professional part | $56.23 | $81.28 | $112.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $251.19 Typical High $338.84 | Professional | TC · Technical part | $104.71 | $251.19 | $338.84 |
CareSource Setting Facility Modifier None Typical Low $61.66 Median $109.65 Typical High $169.82 | Facility | None | $61.66 | $109.65 | $169.82 |
CareSource Setting Professional Modifier None (both parts) Typical Low $56.23 Median $104.71 Typical High $199.53 | Professional | None (both parts) | $56.23 | $104.71 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $724.44 Typical High $724.44 | Facility | None | $281.84 | $724.44 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $338.84 Typical High $575.44 | Professional | None (both parts) | $169.82 | $338.84 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $72.44 Typical High $134.90 | Professional | 26 · Professional part | $57.54 | $72.44 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $257.04 Typical High $380.19 | Professional | TC · Technical part | $112.20 | $257.04 | $380.19 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $380.19 Median $537.03 Typical High $2,089.30 | Facility | None | $380.19 | $537.03 | $2,089.30 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $190.55 Median $245.47 Typical High $346.74 | Professional | None (both parts) | $190.55 | $245.47 | $346.74 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $83.18 Typical High $112.20 | Professional | 26 · Professional part | $67.61 | $83.18 | $112.20 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $162.18 Typical High $223.87 | Professional | TC · Technical part | $125.89 | $162.18 | $223.87 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $257.04 Typical High $467.74 | Professional | None (both parts) | $173.78 | $257.04 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $67.61 Typical High $125.89 | Professional | 26 · Professional part | $54.95 | $67.61 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $173.78 Typical High $346.74 | Professional | TC · Technical part | $112.20 | $173.78 | $346.74 |
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 $87.10 Median $89.13 Typical High $109.65 | Professional | 52 · Reduced service | $87.10 | $89.13 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $35.48 Typical High $43.65 | Professional | 53 · Discontinued | $34.67 | $35.48 | $43.65 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $138.04 Median $162.18 Typical High $186.21 | Professional | CT · Older CT scanner | $138.04 | $162.18 | $186.21 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $131.83 Median $151.36 Typical High $173.78 | Professional | FX · Film X-ray | $131.83 | $151.36 | $173.78 |
Where Indiana sits
The same service costs 5.6 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· 24th of 51
$295
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.