How much rates vary
Facilitymedian $178 · 10th to 90th $50 to $912Professionalmedian $46 · 10th to 90th $35 to $71
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 $39.81 Median $61.66 Typical High $316.23 | Facility | None | $39.81 | $61.66 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $39.81 Typical High $51.29 | Professional | None (both parts) | $36.31 | $39.81 | $51.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $10.96 Typical High $13.80 | Professional | 26 · Professional part | $9.77 | $10.96 | $13.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $28.84 Typical High $37.15 | Professional | TC · Technical part | $26.30 | $28.84 | $37.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $29.51 Median $29.51 Typical High $35.48 | Professional | None (both parts) | $29.51 | $29.51 | $35.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $50.12 Median $263.03 Typical High $371.54 | Facility | None | $50.12 | $263.03 | $371.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $30.20 Median $45.71 Typical High $66.07 | Professional | None (both parts) | $30.20 | $45.71 | $66.07 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $14.45 Typical High $19.50 | Professional | 26 · Professional part | $10.96 | $14.45 | $19.50 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $31.62 Typical High $48.98 | Professional | TC · Technical part | $26.92 | $31.62 | $48.98 |
CareSource Setting Facility Modifier None Typical Low $12.02 Median $30.90 Typical High $42.66 | Facility | None | $12.02 | $30.90 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $102.33 Typical High $467.74 | Facility | None | $74.13 | $102.33 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $53.70 Typical High $81.28 | Professional | None (both parts) | $39.81 | $53.70 | $81.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $12.88 Typical High $20.42 | Professional | 26 · Professional part | $11.22 | $12.88 | $20.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $39.81 Typical High $58.88 | Professional | TC · Technical part | $30.20 | $39.81 | $58.88 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $123.03 Median $912.01 Typical High $2,137.96 | Facility | None | $123.03 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $43.65 Median $53.70 Typical High $79.43 | Professional | None (both parts) | $43.65 | $53.70 | $79.43 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $14.45 Typical High $21.38 | Professional | 26 · Professional part | $12.02 | $14.45 | $21.38 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $39.81 Typical High $58.88 | Professional | TC · Technical part | $32.36 | $39.81 | $58.88 |
United Setting Professional Modifier None (both parts) Typical Low $36.31 Median $46.77 Typical High $77.62 | Professional | None (both parts) | $36.31 | $46.77 | $77.62 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $12.59 Typical High $22.91 | Professional | 26 · Professional part | $10.23 | $12.59 | $22.91 |
United Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $33.88 Typical High $54.95 | Professional | TC · Technical part | $26.30 | $33.88 | $54.95 |
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 $18.62 Median $19.95 Typical High $21.38 | Professional | 52 · Reduced service | $18.62 | $19.95 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.94 Typical High $8.51 | Professional | 53 · Discontinued | $7.41 | $7.94 | $8.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $28.18 Median $33.11 Typical High $33.88 | Professional | FX · Film X-ray | $28.18 | $33.11 | $33.88 |
Where Indiana sits
The same service costs 3.9 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· 38th of 51
$45.71
AK $129UT $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.