How much rates vary
Facilitymedian $186 · 10th to 90th $35 to $912Professionalmedian $35 · 10th to 90th $28 to $55
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 $30.20 Median $58.88 Typical High $257.04 | Facility | None | $30.20 | $58.88 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $30.90 Typical High $48.98 | Professional | None (both parts) | $28.18 | $30.90 | $48.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $8.71 Typical High $14.13 | Professional | 26 · Professional part | $8.13 | $8.71 | $14.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $21.38 Typical High $33.11 | Professional | TC · Technical part | $19.50 | $21.38 | $33.11 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | None (both parts) | $24.55 | $24.55 | $24.55 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $8.91 Typical High $13.49 | Professional | 26 · Professional part | $8.91 | $8.91 | $13.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $35.48 Median $186.21 Typical High $269.15 | Facility | None | $35.48 | $186.21 | $269.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $28.18 Median $35.48 Typical High $51.29 | Professional | None (both parts) | $28.18 | $35.48 | $51.29 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $13.18 Typical High $17.78 | Professional | 26 · Professional part | $8.91 | $13.18 | $17.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $21.88 Typical High $33.88 | Professional | TC · Technical part | $18.62 | $21.88 | $33.88 |
CareSource Setting Facility Modifier None Typical Low $9.77 Median $22.39 Typical High $32.36 | Facility | None | $9.77 | $22.39 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $199.53 Typical High $251.19 | Facility | None | $58.88 | $199.53 | $251.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $40.74 Typical High $70.79 | Professional | None (both parts) | $30.20 | $40.74 | $70.79 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $11.48 Typical High $17.78 | Professional | 26 · Professional part | $8.91 | $11.48 | $17.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $28.84 Typical High $50.12 | Professional | TC · Technical part | $21.38 | $28.84 | $50.12 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $93.33 Median $912.01 Typical High $2,137.96 | Facility | None | $93.33 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $33.11 Median $41.69 Typical High $60.26 | Professional | None (both parts) | $33.11 | $41.69 | $60.26 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.02 Typical High $18.20 | Professional | 26 · Professional part | $9.77 | $12.02 | $18.20 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $29.51 Typical High $42.66 | Professional | TC · Technical part | $23.99 | $29.51 | $42.66 |
United Setting Professional Modifier None (both parts) Typical Low $27.54 Median $34.67 Typical High $60.26 | Professional | None (both parts) | $27.54 | $34.67 | $60.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.72 Typical High $18.20 | Professional | 26 · Professional part | $8.91 | $10.72 | $18.20 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $23.44 Typical High $43.65 | Professional | TC · Technical part | $19.05 | $23.44 | $43.65 |
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 $14.13 Median $15.14 Typical High $16.22 | Professional | 52 · Reduced service | $14.13 | $15.14 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $6.03 Typical High $6.46 | Professional | 53 · Discontinued | $5.62 | $6.03 | $6.46 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $20.89 Median $25.12 Typical High $25.70 | Professional | FX · Film X-ray | $20.89 | $25.12 | $25.70 |
Where Indiana sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 37th of 51
$35.48
AK $95.50FL $26.92
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.