How much rates vary
Facilitymedian $617 · 10th to 90th $282 to $1,000Professionalmedian $363 · 10th to 90th $245 to $589
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 $269.15 Median $389.05 Typical High $1,202.26 | Facility | None | $269.15 | $389.05 | $1,202.26 |
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 $181.97 Median $218.78 Typical High $316.23 | Facility | TC · Technical part | $181.97 | $218.78 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $281.84 Typical High $489.78 | Professional | None (both parts) | $257.04 | $281.84 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $89.13 Typical High $144.54 | Professional | 26 · Professional part | $85.11 | $89.13 | $144.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $186.21 Typical High $338.84 | Professional | TC · Technical part | $169.82 | $186.21 | $338.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $104.71 Median $208.93 Typical High $245.47 | Professional | None (both parts) | $104.71 | $208.93 | $245.47 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $79.43 Typical High $120.23 | Professional | 26 · Professional part | $64.57 | $79.43 | $120.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $363.08 Median $724.44 Typical High $1,000.00 | Facility | None | $363.08 | $724.44 | $1,000.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $245.47 Median $363.08 Typical High $489.78 | Professional | None (both parts) | $245.47 | $363.08 | $489.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $93.33 Typical High $134.90 | Professional | 26 · Professional part | $79.43 | $93.33 | $134.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $263.03 Typical High $371.54 | Professional | TC · Technical part | $165.96 | $263.03 | $371.54 |
CareSource Setting Facility Modifier None Typical Low $89.13 Median $190.55 Typical High $275.42 | Facility | None | $89.13 | $190.55 | $275.42 |
CareSource Setting Professional Modifier None (both parts) Typical Low $79.43 Median $181.97 Typical High $323.59 | Professional | None (both parts) | $79.43 | $181.97 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $724.44 Typical High $724.44 | Facility | None | $489.78 | $724.44 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $489.78 Typical High $851.14 | Professional | None (both parts) | $275.42 | $489.78 | $851.14 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $104.71 Typical High $194.98 | Professional | 26 · Professional part | $79.43 | $104.71 | $194.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $371.54 Typical High $588.84 | Professional | TC · Technical part | $190.55 | $371.54 | $588.84 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $794.33 Median $912.01 Typical High $2,137.96 | Facility | None | $794.33 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $309.03 Median $407.38 Typical High $562.34 | Professional | None (both parts) | $309.03 | $407.38 | $562.34 |
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 $218.78 Median $281.84 Typical High $389.05 | Professional | TC · Technical part | $218.78 | $281.84 | $389.05 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $416.87 Typical High $741.31 | Professional | None (both parts) | $269.15 | $416.87 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $100.00 Typical High $186.21 | Professional | 26 · Professional part | $79.43 | $100.00 | $186.21 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $288.40 Typical High $562.34 | Professional | TC · Technical part | $186.21 | $288.40 | $562.34 |
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 $128.82 Median $128.82 Typical High $162.18 | Professional | 52 · Reduced service | $128.82 | $128.82 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $52.48 Typical High $64.57 | Professional | 53 · Discontinued | $51.29 | $52.48 | $64.57 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $208.93 Median $234.42 Typical High $263.03 | Professional | CT · Older CT scanner | $208.93 | $234.42 | $263.03 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $194.98 Median $223.87 Typical High $245.47 | Professional | FX · Film X-ray | $194.98 | $223.87 | $245.47 |
Where Indiana sits
The same service costs 12.3 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· 35th of 51
$363
VT $2,089UT $170
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.