How much rates vary
Facilitymedian $417 · 10th to 90th $178 to $1,288Professionalmedian $269 · 10th to 90th $155 to $427
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 $169.82 Median $263.03 Typical High $1,288.25 | Facility | None | $169.82 | $263.03 | $1,288.25 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $56.23 Median $67.61 Typical High $97.72 | Facility | 26 · Professional part | $56.23 | $67.61 | $97.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $114.82 Median $138.04 Typical High $199.53 | Facility | TC · Technical part | $114.82 | $138.04 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $181.97 Typical High $331.13 | Professional | None (both parts) | $165.96 | $181.97 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $58.88 Typical High $97.72 | Professional | 26 · Professional part | $54.95 | $58.88 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $123.03 Typical High $229.09 | Professional | TC · Technical part | $112.20 | $123.03 | $229.09 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $77.62 Median $125.89 Typical High $234.42 | Professional | None (both parts) | $77.62 | $125.89 | $234.42 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $51.29 Typical High $74.13 | Professional | 26 · Professional part | $41.69 | $51.29 | $74.13 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $234.42 Typical High $467.74 | Professional | TC · Technical part | $54.95 | $234.42 | $467.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $302.00 Median $416.87 Typical High $724.44 | Facility | None | $302.00 | $416.87 | $724.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $154.88 Median $302.00 Typical High $407.38 | Professional | None (both parts) | $154.88 | $302.00 | $407.38 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $79.43 Typical High $109.65 | Professional | 26 · Professional part | $51.29 | $79.43 | $109.65 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $223.87 Typical High $316.23 | Professional | TC · Technical part | $104.71 | $223.87 | $316.23 |
CareSource Setting Facility Modifier None Typical Low $56.23 Median $107.15 Typical High $165.96 | Facility | None | $56.23 | $107.15 | $165.96 |
CareSource Setting Professional Modifier None (both parts) Typical Low $51.29 Median $102.33 Typical High $190.55 | Professional | None (both parts) | $51.29 | $102.33 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $724.44 Typical High $724.44 | Facility | None | $281.84 | $724.44 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $338.84 Typical High $562.34 | Professional | None (both parts) | $169.82 | $338.84 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $69.18 Typical High $128.82 | Professional | 26 · Professional part | $52.48 | $69.18 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $251.19 Typical High $380.19 | Professional | TC · Technical part | $109.65 | $251.19 | $380.19 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $380.19 Median $512.86 Typical High $2,089.30 | Facility | None | $380.19 | $512.86 | $2,089.30 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $181.97 Median $239.88 Typical High $338.84 | Professional | None (both parts) | $181.97 | $239.88 | $338.84 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $75.86 Typical High $107.15 | Professional | 26 · Professional part | $60.26 | $75.86 | $107.15 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $162.18 Typical High $223.87 | Professional | TC · Technical part | $125.89 | $162.18 | $223.87 |
United Setting Professional Modifier None (both parts) Typical Low $177.83 Median $275.42 Typical High $478.63 | Professional | None (both parts) | $177.83 | $275.42 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $66.07 Typical High $123.03 | Professional | 26 · Professional part | $52.48 | $66.07 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $186.21 Typical High $346.74 | Professional | TC · Technical part | $120.23 | $186.21 | $346.74 |
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 $83.18 Median $85.11 Typical High $117.49 | Professional | 52 · Reduced service | $83.18 | $85.11 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $47.86 | Professional | 53 · Discontinued | $33.88 | $33.88 | $47.86 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $134.90 Median $154.88 Typical High $190.55 | Professional | CT · Older CT scanner | $134.90 | $154.88 | $190.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $125.89 Median $147.91 Typical High $177.83 | Professional | FX · Film X-ray | $125.89 | $147.91 | $177.83 |
Where Indiana sits
The same service costs 5.9 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· 26th of 51
$275
VT $741UT $126
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.