How much rates vary
Facilitymedian $912 · 10th to 90th $417 to $1,445Professionalmedian $562 · 10th to 90th $339 to $1,072
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 $398.11 Median $616.60 Typical High $1,479.11 | Facility | None | $398.11 | $616.60 | $1,479.11 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $87.10 Median $104.71 Typical High $151.36 | Facility | 26 · Professional part | $87.10 | $104.71 | $151.36 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $269.15 Median $338.84 Typical High $457.09 | Facility | TC · Technical part | $269.15 | $338.84 | $457.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $380.19 Typical High $602.56 | Professional | None (both parts) | $354.81 | $380.19 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $89.13 Typical High $141.25 | Professional | 26 · Professional part | $87.10 | $89.13 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $269.15 Typical High $416.87 | Professional | TC · Technical part | $269.15 | $269.15 | $416.87 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $120.23 | Professional | 26 · Professional part | $79.43 | $79.43 | $120.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $562.34 Median $933.25 Typical High $1,230.27 | Facility | None | $562.34 | $933.25 | $1,230.27 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $323.59 Median $562.34 Typical High $758.58 | Professional | None (both parts) | $323.59 | $562.34 | $758.58 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $114.82 Typical High $158.49 | Professional | 26 · Professional part | $79.43 | $114.82 | $158.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $446.68 Typical High $630.96 | Professional | TC · Technical part | $239.88 | $446.68 | $630.96 |
CareSource Setting Facility Modifier None Typical Low $87.10 Median $251.19 Typical High $338.84 | Facility | None | $87.10 | $251.19 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $933.25 Typical High $933.25 | Facility | None | $645.65 | $933.25 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $933.25 Typical High $1,288.25 | Professional | None (both parts) | $346.74 | $933.25 | $1,288.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $102.33 Typical High $190.55 | Professional | 26 · Professional part | $81.28 | $102.33 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $831.76 Typical High $1,047.13 | Professional | TC · Technical part | $257.04 | $831.76 | $1,047.13 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $977.24 Typical High $2,137.96 | Facility | None | $912.01 | $977.24 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $380.19 Median $489.78 Typical High $707.95 | Professional | None (both parts) | $380.19 | $489.78 | $707.95 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $120.23 Typical High $158.49 | Professional | 26 · Professional part | $95.50 | $120.23 | $158.49 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $371.54 Typical High $537.03 | Professional | TC · Technical part | $288.40 | $371.54 | $537.03 |
United Setting Professional Modifier None (both parts) Typical Low $354.81 Median $602.56 Typical High $1,148.15 | Professional | None (both parts) | $354.81 | $602.56 | $1,148.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $95.50 Typical High $199.53 | Professional | 26 · Professional part | $75.86 | $95.50 | $199.53 |
United Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $478.63 Typical High $933.25 | Professional | TC · Technical part | $269.15 | $478.63 | $933.25 |
3 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 $177.83 Median $177.83 Typical High $251.19 | Professional | 52 · Reduced service | $177.83 | $177.83 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $70.79 Typical High $100.00 | Professional | 53 · Discontinued | $70.79 | $70.79 | $100.00 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $269.15 Median $302.00 Typical High $380.19 | Professional | FX · Film X-ray | $269.15 | $302.00 | $380.19 |
Where Indiana sits
The same service costs 5.6 times more in Wyoming 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
$562
WY $1,380UT $245
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.