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 $181.97 Median $281.84 Typical High $1,288.25 | Facility | None | $181.97 | $281.84 | $1,288.25 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $61.66 Median $79.43 Typical High $107.15 | Facility | 26 · Professional part | $61.66 | $79.43 | $107.15 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $100.00 Median $128.82 Typical High $173.78 | Facility | TC · Technical part | $100.00 | $128.82 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $173.78 Typical High $295.12 | Professional | None (both parts) | $158.49 | $173.78 | $295.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $61.66 Typical High $93.33 | Professional | 26 · Professional part | $60.26 | $61.66 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $107.15 Typical High $194.98 | Professional | TC · Technical part | $97.72 | $107.15 | $194.98 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $147.91 | Professional | None (both parts) | $117.49 | $117.49 | $147.91 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $85.11 | Professional | 26 · Professional part | $56.23 | $56.23 | $85.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $251.19 Median $263.03 Typical High $724.44 | Facility | None | $251.19 | $263.03 | $724.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $147.91 Median $251.19 Typical High $338.84 | Professional | None (both parts) | $147.91 | $251.19 | $338.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $83.18 Typical High $114.82 | Professional | 26 · Professional part | $56.23 | $83.18 | $114.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $169.82 Typical High $239.88 | Professional | TC · Technical part | $91.20 | $169.82 | $239.88 |
CareSource Setting Facility Modifier None Typical Low $63.10 Median $95.50 Typical High $158.49 | Facility | None | $63.10 | $95.50 | $158.49 |
CareSource Setting Professional Modifier None (both parts) Typical Low $56.23 Median $93.33 Typical High $181.97 | Professional | None (both parts) | $56.23 | $93.33 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $724.44 Typical High $724.44 | Facility | None | $245.47 | $724.44 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $288.40 Typical High $467.74 | Professional | None (both parts) | $158.49 | $288.40 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $74.13 Typical High $138.04 | Professional | 26 · Professional part | $57.54 | $74.13 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $204.17 Typical High $323.59 | Professional | TC · Technical part | $97.72 | $204.17 | $323.59 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $234.42 Median $489.78 Typical High $2,089.30 | Facility | None | $234.42 | $489.78 | $2,089.30 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $173.78 Median $229.09 Typical High $323.59 | Professional | None (both parts) | $173.78 | $229.09 | $323.59 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $85.11 Typical High $114.82 | Professional | 26 · Professional part | $66.07 | $85.11 | $114.82 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $141.25 Typical High $199.53 | Professional | TC · Technical part | $109.65 | $141.25 | $199.53 |
United Setting Professional Modifier None (both parts) Typical Low $181.97 Median $257.04 Typical High $436.52 | Professional | None (both parts) | $181.97 | $257.04 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $67.61 Typical High $128.82 | Professional | 26 · Professional part | $54.95 | $67.61 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $177.83 Typical High $316.23 | Professional | TC · Technical part | $120.23 | $177.83 | $316.23 |
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 $79.43 Median $81.28 Typical High $102.33 | Professional | 52 · Reduced service | $79.43 | $81.28 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $40.74 | Professional | 53 · Discontinued | $32.36 | $32.36 | $40.74 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $128.82 Median $147.91 Typical High $169.82 | Professional | CT · Older CT scanner | $128.82 | $147.91 | $169.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $120.23 Median $138.04 Typical High $158.49 | Professional | FX · Film X-ray | $120.23 | $138.04 | $158.49 |
Where Indiana sits
The same service costs 6.2 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· 28th of 51
$251
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.