How much rates vary
Facilitymedian $871 · 10th to 90th $339 to $1,259Professionalmedian $525 · 10th to 90th $295 to $1,148
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 $323.59 Median $501.19 Typical High $1,445.44 | Facility | None | $323.59 | $501.19 | $1,445.44 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $109.65 Median $131.83 Typical High $190.55 | Facility | 26 · Professional part | $109.65 | $131.83 | $190.55 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $213.80 Median $257.04 Typical High $371.54 | Facility | TC · Technical part | $213.80 | $257.04 | $371.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $354.81 Typical High $602.56 | Professional | None (both parts) | $331.13 | $354.81 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $114.82 Typical High $190.55 | Professional | 26 · Professional part | $109.65 | $114.82 | $190.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $234.42 Typical High $398.11 | Professional | TC · Technical part | $218.78 | $234.42 | $398.11 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $295.12 | Professional | None (both parts) | $239.88 | $239.88 | $295.12 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $85.11 Typical High $147.91 | Professional | 26 · Professional part | $81.28 | $85.11 | $147.91 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $275.42 Typical High $1,071.52 | Professional | TC · Technical part | $257.04 | $275.42 | $1,071.52 |
Anthem BCBS Setting Facility Modifier None Typical Low $588.84 Median $870.96 Typical High $1,047.13 | Facility | None | $588.84 | $870.96 | $1,047.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $295.12 Median $588.84 Typical High $794.33 | Professional | None (both parts) | $295.12 | $588.84 | $794.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $154.88 Typical High $208.93 | Professional | 26 · Professional part | $100.00 | $154.88 | $208.93 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $436.52 Typical High $588.84 | Professional | TC · Technical part | $194.98 | $436.52 | $588.84 |
CareSource Setting Facility Modifier None Typical Low $112.20 Median $204.17 Typical High $316.23 | Facility | None | $112.20 | $204.17 | $316.23 |
CareSource Setting Professional Modifier None (both parts) Typical Low $102.33 Median $194.98 Typical High $363.08 | Professional | None (both parts) | $102.33 | $194.98 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $933.25 Typical High $933.25 | Facility | None | $524.81 | $933.25 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $758.58 Typical High $1,412.54 | Professional | None (both parts) | $323.59 | $758.58 | $1,412.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $134.90 Typical High $245.47 | Professional | 26 · Professional part | $102.33 | $134.90 | $245.47 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $616.60 Typical High $1,122.02 | Professional | TC · Technical part | $208.93 | $616.60 | $1,122.02 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $794.33 Median $912.01 Typical High $2,089.30 | Facility | None | $794.33 | $912.01 | $2,089.30 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $354.81 Median $457.09 Typical High $660.69 | Professional | None (both parts) | $354.81 | $457.09 | $660.69 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $151.36 Typical High $204.17 | Professional | 26 · Professional part | $120.23 | $151.36 | $204.17 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $302.00 Typical High $426.58 | Professional | TC · Technical part | $234.42 | $302.00 | $426.58 |
United Setting Professional Modifier None (both parts) Typical Low $331.13 Median $524.81 Typical High $1,202.26 | Professional | None (both parts) | $331.13 | $524.81 | $1,202.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $123.03 Typical High $257.04 | Professional | 26 · Professional part | $100.00 | $123.03 | $257.04 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $354.81 Typical High $933.25 | Professional | TC · Technical part | $218.78 | $354.81 | $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 $162.18 Median $165.96 Typical High $234.42 | Professional | 52 · Reduced service | $162.18 | $165.96 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $93.33 | Professional | 53 · Discontinued | $66.07 | $66.07 | $93.33 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $251.19 Median $281.84 Typical High $346.74 | Professional | FX · Film X-ray | $251.19 | $281.84 | $346.74 |
Where Indiana sits
The same service costs 6.6 times more in Vermont 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
$550
VT $1,349UT $204
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.