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 $257.04 Median $389.05 Typical High $1,288.25 | Facility | None | $257.04 | $389.05 | $1,288.25 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $77.62 Median $97.72 Typical High $134.90 | Facility | 26 · Professional part | $77.62 | $97.72 | $134.90 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $147.91 Median $186.21 Typical High $257.04 | Facility | TC · Technical part | $147.91 | $186.21 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $239.88 Typical High $380.19 | Professional | None (both parts) | $223.87 | $239.88 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $77.62 Typical High $100.00 | Professional | 26 · Professional part | $74.13 | $77.62 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $151.36 Typical High $251.19 | Professional | TC · Technical part | $144.54 | $151.36 | $251.19 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $177.83 | $177.83 | $177.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $60.26 | Professional | 26 · Professional part | $56.23 | $56.23 | $60.26 |
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 $204.17 Median $354.81 Typical High $478.63 | Professional | None (both parts) | $204.17 | $354.81 | $478.63 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $93.33 Typical High $131.83 | Professional | 26 · Professional part | $70.79 | $93.33 | $131.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $263.03 Typical High $371.54 | Professional | TC · Technical part | $134.90 | $263.03 | $371.54 |
CareSource Setting Facility Modifier None Typical Low $77.62 Median $138.04 Typical High $218.78 | Facility | None | $77.62 | $138.04 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $724.44 Typical High $724.44 | Facility | None | $363.08 | $724.44 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $380.19 Typical High $602.56 | Professional | None (both parts) | $218.78 | $380.19 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $83.18 Typical High $169.82 | Professional | 26 · Professional part | $70.79 | $83.18 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $295.12 Typical High $426.58 | Professional | TC · Technical part | $144.54 | $295.12 | $426.58 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $380.19 Median $676.08 Typical High $2,089.30 | Facility | None | $380.19 | $676.08 | $2,089.30 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $245.47 Median $316.23 Typical High $436.52 | Professional | None (both parts) | $245.47 | $316.23 | $436.52 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $109.65 Typical High $141.25 | Professional | 26 · Professional part | $85.11 | $109.65 | $141.25 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $208.93 Typical High $288.40 | Professional | TC · Technical part | $162.18 | $208.93 | $288.40 |
United Setting Professional Modifier None (both parts) Typical Low $218.78 Median $323.59 Typical High $549.54 | Professional | None (both parts) | $218.78 | $323.59 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $83.18 Typical High $162.18 | Professional | 26 · Professional part | $67.61 | $83.18 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $229.09 Typical High $416.87 | Professional | TC · Technical part | $147.91 | $229.09 | $416.87 |
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 $112.20 Median $114.82 Typical High $141.25 | Professional | 52 · Reduced service | $112.20 | $114.82 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $45.71 Typical High $56.23 | Professional | 53 · Discontinued | $44.67 | $45.71 | $56.23 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $177.83 Median $208.93 Typical High $234.42 | Professional | CT · Older CT scanner | $177.83 | $208.93 | $234.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $165.96 Median $194.98 Typical High $218.78 | Professional | FX · Film X-ray | $165.96 | $194.98 | $218.78 |
Where Indiana sits
The same service costs 6.3 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
$355
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.