How much rates vary
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 $194.98 Median $524.81 Typical High $1,348.96 | Facility | None | $194.98 | $524.81 | $1,348.96 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $58.88 Median $70.79 Typical High $81.28 | Facility | 26 · Professional part | $58.88 | $70.79 | $81.28 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $114.82 Median $138.04 Typical High $173.78 | Facility | TC · Technical part | $114.82 | $138.04 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $186.21 Typical High $316.23 | Professional | None (both parts) | $169.82 | $186.21 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $58.88 Typical High $75.86 | Professional | 26 · Professional part | $57.54 | $58.88 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $117.49 Typical High $218.78 | Professional | TC · Technical part | $112.20 | $117.49 | $218.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $43.65 Typical High $53.70 | Professional | 26 · Professional part | $42.66 | $43.65 | $53.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $302.00 Median $416.87 Typical High $724.44 | Facility | None | $302.00 | $416.87 | $724.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $158.49 Median $302.00 Typical High $407.38 | Professional | None (both parts) | $158.49 | $302.00 | $407.38 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $79.43 Typical High $107.15 | Professional | 26 · Professional part | $53.70 | $79.43 | $107.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $223.87 Typical High $309.03 | Professional | TC · Technical part | $104.71 | $223.87 | $309.03 |
CareSource Setting Facility Modifier None Typical Low $58.88 Median $109.65 Typical High $165.96 | Facility | None | $58.88 | $109.65 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $724.44 Typical High $724.44 | Facility | None | $281.84 | $724.44 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $338.84 Typical High $562.34 | Professional | None (both parts) | $173.78 | $338.84 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $69.18 Typical High $131.83 | Professional | 26 · Professional part | $54.95 | $69.18 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $251.19 Typical High $380.19 | Professional | TC · Technical part | $109.65 | $251.19 | $380.19 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $380.19 Median $524.81 Typical High $2,089.30 | Facility | None | $380.19 | $524.81 | $2,089.30 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $186.21 Median $245.47 Typical High $346.74 | Professional | None (both parts) | $186.21 | $245.47 | $346.74 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $81.28 Typical High $109.65 | Professional | 26 · Professional part | $63.10 | $81.28 | $109.65 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $162.18 Typical High $229.09 | Professional | TC · Technical part | $125.89 | $162.18 | $229.09 |
United Setting Professional Modifier None (both parts) Typical Low $181.97 Median $275.42 Typical High $478.63 | Professional | None (both parts) | $181.97 | $275.42 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $64.57 Typical High $123.03 | Professional | 26 · Professional part | $52.48 | $64.57 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $190.55 Typical High $346.74 | Professional | TC · Technical part | $123.03 | $190.55 | $346.74 |
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 $85.11 Median $87.10 Typical High $117.49 | Professional | 52 · Reduced service | $85.11 | $87.10 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $34.67 Typical High $47.86 | Professional | 53 · Discontinued | $33.88 | $34.67 | $47.86 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $138.04 Median $158.49 Typical High $194.98 | Professional | CT · Older CT scanner | $138.04 | $158.49 | $194.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $128.82 Median $147.91 Typical High $181.97 | Professional | FX · Film X-ray | $128.82 | $147.91 | $181.97 |
Where Indiana sits
The same service costs 5.5 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· 24th of 51
$302
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.