How much rates vary
Facilitymedian $200 · 10th to 90th $68 to $468Professionalmedian $68 · 10th to 90th $52 to $105
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 $56.23 Median $79.43 Typical High $251.19 | Facility | None | $56.23 | $79.43 | $251.19 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $13.18 Median $16.98 Typical High $23.44 | Facility | 26 · Professional part | $13.18 | $16.98 | $23.44 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $42.66 Median $53.70 Typical High $74.13 | Facility | TC · Technical part | $42.66 | $53.70 | $74.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $56.23 Typical High $87.10 | Professional | None (both parts) | $51.29 | $56.23 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $14.13 Typical High $21.38 | Professional | 26 · Professional part | $12.59 | $14.13 | $21.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $42.66 Typical High $63.10 | Professional | TC · Technical part | $38.02 | $42.66 | $63.10 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $48.98 Median $87.10 Typical High $87.10 | Professional | None (both parts) | $48.98 | $87.10 | $87.10 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $13.18 Typical High $13.80 | Professional | 26 · Professional part | $10.96 | $13.18 | $13.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $69.18 Median $199.53 Typical High $323.59 | Facility | None | $69.18 | $199.53 | $323.59 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $53.70 Median $67.61 Typical High $95.50 | Professional | None (both parts) | $53.70 | $67.61 | $95.50 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $23.44 Typical High $29.51 | Professional | 26 · Professional part | $13.80 | $23.44 | $29.51 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $43.65 Typical High $66.07 | Professional | TC · Technical part | $37.15 | $43.65 | $66.07 |
CareSource Setting Facility Modifier None Typical Low $15.14 Median $43.65 Typical High $58.88 | Facility | None | $15.14 | $43.65 | $58.88 |
CareSource Setting Professional Modifier None (both parts) Typical Low $13.80 Median $41.69 Typical High $69.18 | Professional | None (both parts) | $13.80 | $41.69 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $199.53 Typical High $467.74 | Facility | None | $112.20 | $199.53 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $74.13 Typical High $138.04 | Professional | None (both parts) | $56.23 | $74.13 | $138.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $20.42 Typical High $28.18 | Professional | 26 · Professional part | $13.80 | $20.42 | $28.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $53.70 Typical High $100.00 | Professional | TC · Technical part | $41.69 | $53.70 | $100.00 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $173.78 Median $912.01 Typical High $2,137.96 | Facility | None | $173.78 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $61.66 Median $74.13 Typical High $114.82 | Professional | None (both parts) | $61.66 | $74.13 | $114.82 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $18.62 Typical High $28.18 | Professional | 26 · Professional part | $15.14 | $18.62 | $28.18 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $58.88 Typical High $87.10 | Professional | TC · Technical part | $46.77 | $58.88 | $87.10 |
United Setting Professional Modifier None (both parts) Typical Low $53.70 Median $67.61 Typical High $117.49 | Professional | None (both parts) | $53.70 | $67.61 | $117.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $18.20 Typical High $29.51 | Professional | 26 · Professional part | $13.80 | $18.20 | $29.51 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $48.98 Typical High $85.11 | Professional | TC · Technical part | $39.81 | $48.98 | $85.11 |
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 $25.70 Median $27.54 Typical High $30.20 | Professional | 52 · Reduced service | $25.70 | $27.54 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $11.22 Typical High $12.02 | Professional | 53 · Discontinued | $10.23 | $11.22 | $12.02 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $38.90 Median $45.71 Typical High $47.86 | Professional | FX · Film X-ray | $38.90 | $45.71 | $47.86 |
Where Indiana sits
The same service costs 3.6 times more in Alaska than in Texas. 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· 40th of 51
$67.61
AK $182TX $50.12
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.