How much rates vary
Facilitymedian $575 · 10th to 90th $224 to $1,288Professionalmedian $331 · 10th to 90th $178 to $490
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 $223.87 Median $524.81 Typical High $1,659.59 | Facility | None | $223.87 | $524.81 | $1,659.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $194.98 Typical High $338.84 | Professional | None (both parts) | $186.21 | $194.98 | $338.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $61.66 Typical High $91.20 | Professional | 26 · Professional part | $60.26 | $61.66 | $91.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $128.82 Typical High $218.78 | Professional | TC · Technical part | $123.03 | $128.82 | $218.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $144.54 | Professional | None (both parts) | $131.83 | $131.83 | $144.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $85.11 | Professional | 26 · Professional part | $44.67 | $44.67 | $85.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $354.81 Median $416.87 Typical High $724.44 | Facility | None | $354.81 | $416.87 | $724.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $173.78 Median $354.81 Typical High $478.63 | Professional | None (both parts) | $173.78 | $354.81 | $478.63 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $91.20 Typical High $123.03 | Professional | 26 · Professional part | $56.23 | $91.20 | $123.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $263.03 Typical High $354.81 | Professional | TC · Technical part | $114.82 | $263.03 | $354.81 |
CareSource Setting Facility Modifier None Typical Low $61.66 Median $120.23 Typical High $181.97 | Facility | None | $61.66 | $120.23 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $724.44 Typical High $724.44 | Facility | None | $309.03 | $724.44 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $380.19 Typical High $588.84 | Professional | None (both parts) | $181.97 | $380.19 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $77.62 Typical High $134.90 | Professional | 26 · Professional part | $57.54 | $77.62 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $302.00 Typical High $398.11 | Professional | TC · Technical part | $123.03 | $302.00 | $398.11 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $380.19 Median $562.34 Typical High $2,089.30 | Facility | None | $380.19 | $562.34 | $2,089.30 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $204.17 Median $263.03 Typical High $363.08 | Professional | None (both parts) | $204.17 | $263.03 | $363.08 |
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 $138.04 Median $177.83 Typical High $245.47 | Professional | TC · Technical part | $138.04 | $177.83 | $245.47 |
United Setting Professional Modifier None (both parts) Typical Low $181.97 Median $288.40 Typical High $501.19 | Professional | None (both parts) | $181.97 | $288.40 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $70.79 Typical High $131.83 | Professional | 26 · Professional part | $56.23 | $70.79 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $194.98 Typical High $389.05 | Professional | TC · Technical part | $125.89 | $194.98 | $389.05 |
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 $93.33 Median $95.50 Typical High $117.49 | Professional | 52 · Reduced service | $93.33 | $95.50 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $38.02 Typical High $46.77 | Professional | 53 · Discontinued | $37.15 | $38.02 | $46.77 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $147.91 Median $173.78 Typical High $199.53 | Professional | CT · Older CT scanner | $147.91 | $173.78 | $199.53 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $138.04 Median $162.18 Typical High $186.21 | Professional | FX · Film X-ray | $138.04 | $162.18 | $186.21 |
Where Indiana sits
The same service costs 5.1 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· 23rd of 51
$347
AK $676UT $132
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.