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 $131.83 Median $199.53 Typical High $1,288.25 | Facility | None | $131.83 | $199.53 | $1,288.25 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $41.69 Median $50.12 Typical High $72.44 | Facility | 26 · Professional part | $41.69 | $50.12 | $72.44 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $89.13 Median $107.15 Typical High $154.88 | Facility | TC · Technical part | $89.13 | $107.15 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $141.25 Typical High $281.84 | Professional | None (both parts) | $128.82 | $141.25 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $42.66 Typical High $72.44 | Professional | 26 · Professional part | $40.74 | $42.66 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $97.72 Typical High $218.78 | Professional | TC · Technical part | $87.10 | $97.72 | $218.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $81.28 Median $102.33 Typical High $120.23 | Professional | None (both parts) | $81.28 | $102.33 | $120.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.02 Typical High $57.54 | Professional | 26 · Professional part | $32.36 | $38.02 | $57.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $239.88 Median $263.03 Typical High $724.44 | Facility | None | $239.88 | $263.03 | $724.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $120.23 Median $239.88 Typical High $323.59 | Professional | None (both parts) | $120.23 | $239.88 | $323.59 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $74.13 Typical High $93.33 | Professional | 26 · Professional part | $38.02 | $74.13 | $93.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $169.82 Typical High $239.88 | Professional | TC · Technical part | $81.28 | $169.82 | $239.88 |
CareSource Setting Facility Modifier None Typical Low $41.69 Median $85.11 Typical High $125.89 | Facility | None | $41.69 | $85.11 | $125.89 |
CareSource Setting Professional Modifier None (both parts) Typical Low $38.02 Median $81.28 Typical High $147.91 | Professional | None (both parts) | $38.02 | $81.28 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $724.44 Typical High $724.44 | Facility | None | $218.78 | $724.44 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $263.03 Typical High $426.58 | Professional | None (both parts) | $125.89 | $263.03 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $61.66 Typical High $93.33 | Professional | 26 · Professional part | $38.02 | $61.66 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $199.53 Typical High $281.84 | Professional | TC · Technical part | $85.11 | $199.53 | $281.84 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $234.42 Median $398.11 Typical High $2,089.30 | Facility | None | $234.42 | $398.11 | $2,089.30 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $141.25 Median $181.97 Typical High $257.04 | Professional | None (both parts) | $141.25 | $181.97 | $257.04 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $57.54 Typical High $77.62 | Professional | 26 · Professional part | $45.71 | $57.54 | $77.62 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $125.89 Typical High $173.78 | Professional | TC · Technical part | $97.72 | $125.89 | $173.78 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $199.53 Typical High $346.74 | Professional | None (both parts) | $125.89 | $199.53 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $53.70 Typical High $93.33 | Professional | 26 · Professional part | $38.90 | $53.70 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $131.83 Typical High $263.03 | Professional | TC · Technical part | $87.10 | $131.83 | $263.03 |
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 $64.57 Median $66.07 Typical High $81.28 | Professional | 52 · Reduced service | $64.57 | $66.07 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $26.30 Typical High $33.11 | Professional | 53 · Discontinued | $25.70 | $26.30 | $33.11 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $102.33 Median $120.23 Typical High $134.90 | Professional | CT · Older CT scanner | $102.33 | $120.23 | $134.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $112.20 Typical High $128.82 | Professional | FX · Film X-ray | $97.72 | $112.20 | $128.82 |
Where Indiana sits
The same service costs 4.9 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· 25th of 51
$214
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.