How much rates vary
Facilitymedian $316 · 10th to 90th $151 to $1,288Professionalmedian $224 · 10th to 90th $123 to $355
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 $134.90 Median $208.93 Typical High $1,288.25 | Facility | None | $134.90 | $208.93 | $1,288.25 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $51.29 Median $61.66 Typical High $91.20 | Facility | 26 · Professional part | $51.29 | $61.66 | $91.20 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $83.18 Median $100.00 Typical High $147.91 | Facility | TC · Technical part | $83.18 | $100.00 | $147.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $144.54 Typical High $275.42 | Professional | None (both parts) | $134.90 | $144.54 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $53.70 Typical High $85.11 | Professional | 26 · Professional part | $50.12 | $53.70 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $91.20 Typical High $199.53 | Professional | TC · Technical part | $81.28 | $91.20 | $199.53 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $100.00 Median $104.71 Typical High $186.21 | Professional | None (both parts) | $100.00 | $104.71 | $186.21 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $47.86 Typical High $70.79 | Professional | 26 · Professional part | $38.02 | $47.86 | $70.79 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $114.82 Typical High $467.74 | Professional | TC · Technical part | $70.79 | $114.82 | $467.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $245.47 Median $263.03 Typical High $724.44 | Facility | None | $245.47 | $263.03 | $724.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $123.03 Median $245.47 Typical High $331.13 | Professional | None (both parts) | $123.03 | $245.47 | $331.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $75.86 Typical High $102.33 | Professional | 26 · Professional part | $47.86 | $75.86 | $102.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $165.96 Typical High $239.88 | Professional | TC · Technical part | $77.62 | $165.96 | $239.88 |
CareSource Setting Facility Modifier None Typical Low $52.48 Median $79.43 Typical High $131.83 | Facility | None | $52.48 | $79.43 | $131.83 |
CareSource Setting Professional Modifier None (both parts) Typical Low $47.86 Median $79.43 Typical High $154.88 | Professional | None (both parts) | $47.86 | $79.43 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $724.44 Typical High $724.44 | Facility | None | $204.17 | $724.44 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $288.40 Typical High $467.74 | Professional | None (both parts) | $134.90 | $288.40 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $64.57 Typical High $114.82 | Professional | 26 · Professional part | $48.98 | $64.57 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $194.98 Typical High $316.23 | Professional | TC · Technical part | $81.28 | $194.98 | $316.23 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $234.42 Median $407.38 Typical High $2,089.30 | Facility | None | $234.42 | $407.38 | $2,089.30 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $147.91 Median $190.55 Typical High $275.42 | Professional | None (both parts) | $147.91 | $190.55 | $275.42 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $70.79 Typical High $97.72 | Professional | 26 · Professional part | $56.23 | $70.79 | $97.72 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $117.49 Typical High $165.96 | Professional | TC · Technical part | $93.33 | $117.49 | $165.96 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $218.78 Typical High $389.05 | Professional | None (both parts) | $144.54 | $218.78 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $60.26 Typical High $114.82 | Professional | 26 · Professional part | $48.98 | $60.26 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $141.25 Typical High $275.42 | Professional | TC · Technical part | $91.20 | $141.25 | $275.42 |
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 $67.61 Median $67.61 Typical High $85.11 | Professional | 52 · Reduced service | $67.61 | $67.61 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $27.54 Typical High $33.88 | Professional | 53 · Discontinued | $26.92 | $27.54 | $33.88 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $107.15 Median $123.03 Typical High $144.54 | Professional | CT · Older CT scanner | $107.15 | $123.03 | $144.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $100.00 Median $117.49 Typical High $134.90 | Professional | FX · Film X-ray | $100.00 | $117.49 | $134.90 |
Where Indiana sits
The same service costs 6.2 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· 22nd of 51
$229
VT $617UT $100
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.