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 $162.18 Median $269.15 Typical High $1,288.25 | Facility | None | $162.18 | $269.15 | $1,288.25 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $54.95 Median $66.07 Typical High $95.50 | Facility | 26 · Professional part | $54.95 | $66.07 | $95.50 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $100.00 Median $120.23 Typical High $173.78 | Facility | TC · Technical part | $100.00 | $120.23 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $165.96 Typical High $288.40 | Professional | None (both parts) | $151.36 | $165.96 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $56.23 Typical High $83.18 | Professional | 26 · Professional part | $53.70 | $56.23 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $109.65 Typical High $194.98 | Professional | TC · Technical part | $97.72 | $109.65 | $194.98 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None (both parts) | $141.25 | $141.25 | $141.25 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $50.12 Typical High $74.13 | Professional | 26 · Professional part | $39.81 | $50.12 | $74.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $302.00 Median $416.87 Typical High $724.44 | Facility | None | $302.00 | $416.87 | $724.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $141.25 Median $302.00 Typical High $407.38 | Professional | None (both parts) | $141.25 | $302.00 | $407.38 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $83.18 Typical High $112.20 | Professional | 26 · Professional part | $50.12 | $83.18 | $112.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $213.80 Typical High $288.40 | Professional | TC · Technical part | $91.20 | $213.80 | $288.40 |
CareSource Setting Facility Modifier None Typical Low $54.95 Median $95.50 Typical High $151.36 | Facility | None | $54.95 | $95.50 | $151.36 |
CareSource Setting Professional Modifier None (both parts) Typical Low $50.12 Median $91.20 Typical High $173.78 | Professional | None (both parts) | $50.12 | $91.20 | $173.78 |
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 $151.36 Median $316.23 Typical High $512.86 | Professional | None (both parts) | $151.36 | $316.23 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $70.79 Typical High $120.23 | Professional | 26 · Professional part | $50.12 | $70.79 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $245.47 Typical High $346.74 | Professional | TC · Technical part | $97.72 | $245.47 | $346.74 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $380.19 Median $467.74 Typical High $2,089.30 | Facility | None | $380.19 | $467.74 | $2,089.30 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $165.96 Median $218.78 Typical High $309.03 | Professional | None (both parts) | $165.96 | $218.78 | $309.03 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $75.86 Typical High $100.00 | Professional | 26 · Professional part | $60.26 | $75.86 | $100.00 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $141.25 Typical High $194.98 | Professional | TC · Technical part | $109.65 | $141.25 | $194.98 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $239.88 Typical High $416.87 | Professional | None (both parts) | $151.36 | $239.88 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $64.57 Typical High $117.49 | Professional | 26 · Professional part | $50.12 | $64.57 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $151.36 Typical High $302.00 | Professional | TC · Technical part | $97.72 | $151.36 | $302.00 |
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 $75.86 Median $77.62 Typical High $97.72 | Professional | 52 · Reduced service | $75.86 | $77.62 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $38.90 | Professional | 53 · Discontinued | $30.90 | $30.90 | $38.90 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $123.03 Median $141.25 Typical High $162.18 | Professional | CT · Older CT scanner | $123.03 | $141.25 | $162.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $131.83 Typical High $151.36 | Professional | FX · Film X-ray | $114.82 | $131.83 | $151.36 |
Where Indiana sits
The same service costs 5.9 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· 24th of 51
$263
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.