How much rates vary
Facilitymedian $117 · 10th to 90th $38 to $468Professionalmedian $39 · 10th to 90th $29 to $59
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 $36.31 Median $48.98 Typical High $251.19 | Facility | None | $36.31 | $48.98 | $251.19 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $10.00 Median $12.59 Typical High $17.38 | Facility | 26 · Professional part | $10.00 | $12.59 | $17.38 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $26.30 Median $33.88 Typical High $46.77 | Facility | TC · Technical part | $26.30 | $33.88 | $46.77 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $37.15 Typical High $57.54 | Professional | None (both parts) | $33.11 | $37.15 | $57.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $10.23 Typical High $16.22 | Professional | 26 · Professional part | $9.33 | $10.23 | $16.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $26.92 Typical High $41.69 | Professional | TC · Technical part | $23.44 | $26.92 | $41.69 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $25.70 Median $30.20 Typical High $47.86 | Professional | None (both parts) | $25.70 | $30.20 | $47.86 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $9.77 Typical High $14.79 | Professional | 26 · Professional part | $8.13 | $9.77 | $14.79 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $27.54 Typical High $34.67 | Professional | TC · Technical part | $18.62 | $27.54 | $34.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $38.90 Median $199.53 Typical High $323.59 | Facility | None | $38.90 | $199.53 | $323.59 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $30.90 Median $38.90 Typical High $54.95 | Professional | None (both parts) | $30.90 | $38.90 | $54.95 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $14.45 Typical High $19.95 | Professional | 26 · Professional part | $10.23 | $14.45 | $19.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $25.12 Typical High $36.31 | Professional | TC · Technical part | $20.42 | $25.12 | $36.31 |
CareSource Setting Facility Modifier None Typical Low $10.96 Median $27.54 Typical High $38.02 | Facility | None | $10.96 | $27.54 | $38.02 |
CareSource Setting Professional Modifier None (both parts) Typical Low $10.00 Median $28.18 Typical High $44.67 | Professional | None (both parts) | $10.00 | $28.18 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $199.53 Typical High $467.74 | Facility | None | $70.79 | $199.53 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $43.65 Typical High $77.62 | Professional | None (both parts) | $36.31 | $43.65 | $77.62 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $13.49 Typical High $19.95 | Professional | 26 · Professional part | $10.23 | $13.49 | $19.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $30.20 Typical High $56.23 | Professional | TC · Technical part | $25.70 | $30.20 | $56.23 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $114.82 Median $912.01 Typical High $2,137.96 | Facility | None | $114.82 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $39.81 Median $47.86 Typical High $72.44 | Professional | None (both parts) | $39.81 | $47.86 | $72.44 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $13.80 Typical High $19.95 | Professional | 26 · Professional part | $11.22 | $13.80 | $19.95 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $35.48 Typical High $53.70 | Professional | TC · Technical part | $28.84 | $35.48 | $53.70 |
United Setting Professional Modifier None (both parts) Typical Low $33.11 Median $39.81 Typical High $70.79 | Professional | None (both parts) | $33.11 | $39.81 | $70.79 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.30 Typical High $19.95 | Professional | 26 · Professional part | $9.77 | $12.30 | $19.95 |
United Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $27.54 Typical High $48.98 | Professional | TC · Technical part | $22.91 | $27.54 | $48.98 |
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 $16.60 Median $17.78 Typical High $19.50 | Professional | 52 · Reduced service | $16.60 | $17.78 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $7.24 Typical High $7.76 | Professional | 53 · Discontinued | $6.61 | $7.24 | $7.76 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $25.12 Median $29.51 Typical High $30.90 | Professional | FX · Film X-ray | $25.12 | $29.51 | $30.90 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $30.20 Median $32.36 Typical High $32.36 | Professional | 59 · Distinct service | $30.20 | $32.36 | $32.36 |
Where Indiana sits
The same service costs 12.6 times more in Vermont than in Florida. 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· 43rd of 51
$38.90
VT $389FL $30.90
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.