How much rates vary
Facilitymedian $158 · 10th to 90th $50 to $468Professionalmedian $54 · 10th to 90th $42 to $110
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 $50.12 Median $67.61 Typical High $251.19 | Facility | None | $50.12 | $67.61 | $251.19 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $12.02 Median $15.14 Typical High $20.89 | Facility | 26 · Professional part | $12.02 | $15.14 | $20.89 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $38.02 Median $47.86 Typical High $66.07 | Facility | TC · Technical part | $38.02 | $47.86 | $66.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $50.12 Typical High $79.43 | Professional | None (both parts) | $44.67 | $50.12 | $79.43 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $12.30 Typical High $19.95 | Professional | 26 · Professional part | $11.75 | $12.30 | $19.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $37.15 Typical High $57.54 | Professional | TC · Technical part | $33.11 | $37.15 | $57.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $34.67 Median $38.90 Typical High $77.62 | Professional | None (both parts) | $34.67 | $38.90 | $77.62 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $12.30 Typical High $18.62 | Professional | 26 · Professional part | $10.00 | $12.30 | $18.62 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $46.77 Typical High $50.12 | Professional | TC · Technical part | $38.90 | $46.77 | $50.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $52.48 Median $199.53 Typical High $323.59 | Facility | None | $52.48 | $199.53 | $323.59 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $44.67 Median $67.61 Typical High $109.65 | Professional | None (both parts) | $44.67 | $67.61 | $109.65 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $19.95 Typical High $25.12 | Professional | 26 · Professional part | $12.30 | $19.95 | $25.12 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $44.67 Typical High $89.13 | Professional | TC · Technical part | $28.84 | $44.67 | $89.13 |
CareSource Setting Facility Modifier None Typical Low $13.49 Median $38.90 Typical High $52.48 | Facility | None | $13.49 | $38.90 | $52.48 |
CareSource Setting Professional Modifier None (both parts) Typical Low $12.30 Median $37.15 Typical High $60.26 | Professional | None (both parts) | $12.30 | $37.15 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $199.53 Typical High $467.74 | Facility | None | $100.00 | $199.53 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $58.88 Typical High $104.71 | Professional | None (both parts) | $47.86 | $58.88 | $104.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $17.38 Typical High $25.12 | Professional | 26 · Professional part | $12.30 | $17.38 | $25.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $40.74 Typical High $75.86 | Professional | TC · Technical part | $33.88 | $40.74 | $75.86 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $154.88 Median $912.01 Typical High $2,137.96 | Facility | None | $154.88 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $54.95 Median $64.57 Typical High $100.00 | Professional | None (both parts) | $54.95 | $64.57 | $100.00 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $16.60 Typical High $25.70 | Professional | 26 · Professional part | $13.49 | $16.60 | $25.70 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $48.98 Typical High $75.86 | Professional | TC · Technical part | $41.69 | $48.98 | $75.86 |
United Setting Professional Modifier None (both parts) Typical Low $43.65 Median $53.70 Typical High $91.20 | Professional | None (both parts) | $43.65 | $53.70 | $91.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $16.22 Typical High $26.30 | Professional | 26 · Professional part | $12.30 | $16.22 | $26.30 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $37.15 Typical High $67.61 | Professional | TC · Technical part | $30.20 | $37.15 | $67.61 |
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 $22.39 Median $23.99 Typical High $25.12 | Professional | 52 · Reduced service | $22.39 | $23.99 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $9.55 Typical High $10.23 | Professional | 53 · Discontinued | $8.91 | $9.55 | $10.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $33.88 Median $39.81 Typical High $40.74 | Professional | FX · Film X-ray | $33.88 | $39.81 | $40.74 |
Where Indiana sits
The same service costs 4.8 times more in Alaska 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· 34th of 51
$56.23
AK $158UT $33.11
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.