How much rates vary
Facilitymedian $575 · 10th to 90th $240 to $1,288Professionalmedian $339 · 10th to 90th $195 to $501
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 $239.88 Median $630.96 Typical High $1,659.59 | Facility | None | $239.88 | $630.96 | $1,659.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $204.17 Typical High $323.59 | Professional | None (both parts) | $199.53 | $204.17 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $61.66 Typical High $77.62 | Professional | 26 · Professional part | $58.88 | $61.66 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $141.25 Typical High $218.78 | Professional | TC · Technical part | $138.04 | $141.25 | $218.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | 26 · Professional part | $56.23 | $56.23 | $56.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $346.74 Median $416.87 Typical High $724.44 | Facility | None | $346.74 | $416.87 | $724.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $186.21 Median $346.74 Typical High $467.74 | Professional | None (both parts) | $186.21 | $346.74 | $467.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $81.28 Typical High $112.20 | Professional | 26 · Professional part | $56.23 | $81.28 | $112.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $263.03 Typical High $371.54 | Professional | TC · Technical part | $128.82 | $263.03 | $371.54 |
CareSource Setting Facility Modifier None Typical Low $61.66 Median $134.90 Typical High $194.98 | Facility | None | $61.66 | $134.90 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $524.81 Typical High $724.44 | Facility | None | $213.80 | $524.81 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $407.38 Typical High $645.65 | Professional | None (both parts) | $194.98 | $407.38 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $72.44 Typical High $134.90 | Professional | 26 · Professional part | $57.54 | $72.44 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $316.23 Typical High $478.63 | Professional | TC · Technical part | $138.04 | $316.23 | $478.63 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $380.19 Median $616.60 Typical High $2,089.30 | Facility | None | $380.19 | $616.60 | $2,089.30 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $218.78 Median $281.84 Typical High $407.38 | Professional | None (both parts) | $218.78 | $281.84 | $407.38 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $85.11 Typical High $114.82 | Professional | 26 · Professional part | $66.07 | $85.11 | $114.82 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $199.53 Typical High $288.40 | Professional | TC · Technical part | $154.88 | $199.53 | $288.40 |
United Setting Professional Modifier None (both parts) Typical Low $208.93 Median $323.59 Typical High $562.34 | Professional | None (both parts) | $208.93 | $323.59 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $67.61 Typical High $125.89 | Professional | 26 · Professional part | $54.95 | $67.61 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $234.42 Typical High $436.52 | Professional | TC · Technical part | $151.36 | $234.42 | $436.52 |
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 $100.00 Median $102.33 Typical High $138.04 | Professional | 52 · Reduced service | $100.00 | $102.33 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $40.74 Typical High $54.95 | Professional | 53 · Discontinued | $39.81 | $40.74 | $54.95 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $158.49 Median $186.21 Typical High $223.87 | Professional | CT · Older CT scanner | $158.49 | $186.21 | $223.87 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $151.36 Median $173.78 Typical High $208.93 | Professional | FX · Film X-ray | $151.36 | $173.78 | $208.93 |
Where Indiana sits
The same service costs 5.2 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· 23rd of 51
$347
AK $794UT $151
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.