How much rates vary
Facilitymedian $631 · 10th to 90th $269 to $1,096Professionalmedian $380 · 10th to 90th $245 to $631
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 $263.03 Median $398.11 Typical High $1,202.26 | Facility | None | $263.03 | $398.11 | $1,202.26 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $83.18 Median $100.00 Typical High $128.82 | Facility | 26 · Professional part | $83.18 | $100.00 | $128.82 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $181.97 Median $218.78 Typical High $316.23 | Facility | TC · Technical part | $181.97 | $218.78 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $275.42 Typical High $478.63 | Professional | None (both parts) | $257.04 | $275.42 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $85.11 Typical High $131.83 | Professional | 26 · Professional part | $79.43 | $85.11 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $186.21 Typical High $316.23 | Professional | TC · Technical part | $169.82 | $186.21 | $316.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $204.17 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $204.17 | $245.47 | $245.47 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $77.62 Typical High $114.82 | Professional | 26 · Professional part | $66.07 | $77.62 | $114.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $380.19 Median $724.44 Typical High $977.24 | Facility | None | $380.19 | $724.44 | $977.24 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $245.47 Median $380.19 Typical High $512.86 | Professional | None (both parts) | $245.47 | $380.19 | $512.86 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $114.82 Typical High $154.88 | Professional | 26 · Professional part | $77.62 | $114.82 | $154.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $263.03 Typical High $371.54 | Professional | TC · Technical part | $165.96 | $263.03 | $371.54 |
CareSource Setting Facility Modifier None Typical Low $85.11 Median $186.21 Typical High $269.15 | Facility | None | $85.11 | $186.21 | $269.15 |
CareSource Setting Professional Modifier None (both parts) Typical Low $77.62 Median $177.83 Typical High $316.23 | Professional | None (both parts) | $77.62 | $177.83 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $724.44 Typical High $724.44 | Facility | None | $478.63 | $724.44 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $549.54 Typical High $831.76 | Professional | None (both parts) | $269.15 | $549.54 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $100.00 Typical High $186.21 | Professional | 26 · Professional part | $77.62 | $100.00 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $436.52 Typical High $630.96 | Professional | TC · Technical part | $190.55 | $436.52 | $630.96 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $776.25 Median $912.01 Typical High $2,137.96 | Facility | None | $776.25 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $302.00 Median $389.05 Typical High $549.54 | Professional | None (both parts) | $302.00 | $389.05 | $549.54 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $117.49 Typical High $154.88 | Professional | 26 · Professional part | $93.33 | $117.49 | $154.88 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $275.42 Typical High $380.19 | Professional | TC · Technical part | $213.80 | $275.42 | $380.19 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $416.87 Typical High $758.58 | Professional | None (both parts) | $269.15 | $416.87 | $758.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $91.20 Typical High $173.78 | Professional | 26 · Professional part | $75.86 | $91.20 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $288.40 Typical High $588.84 | Professional | TC · Technical part | $181.97 | $288.40 | $588.84 |
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 $125.89 Median $128.82 Typical High $158.49 | Professional | 52 · Reduced service | $125.89 | $128.82 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $64.57 | Professional | 53 · Discontinued | $51.29 | $51.29 | $64.57 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $204.17 Median $234.42 Typical High $257.04 | Professional | CT · Older CT scanner | $204.17 | $234.42 | $257.04 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $194.98 Median $218.78 Typical High $239.88 | Professional | FX · Film X-ray | $194.98 | $218.78 | $239.88 |
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· 30th of 51
$380
AK $1,000UT $170
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.