How much rates vary
Facilitymedian $525 · 10th to 90th $204 to $1,445Professionalmedian $355 · 10th to 90th $178 to $631
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 $309.03 Typical High $1,445.44 | Facility | None | $194.98 | $309.03 | $1,445.44 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $72.44 Median $85.11 Typical High $125.89 | Facility | 26 · Professional part | $72.44 | $85.11 | $125.89 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $123.03 Median $147.91 Typical High $218.78 | Facility | TC · Technical part | $123.03 | $147.91 | $218.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $208.93 Typical High $524.81 | Professional | None (both parts) | $194.98 | $208.93 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $74.13 Typical High $141.25 | Professional | 26 · Professional part | $70.79 | $74.13 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $134.90 Typical High $338.84 | Professional | TC · Technical part | $125.89 | $134.90 | $338.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $123.03 Median $144.54 Typical High $269.15 | Professional | None (both parts) | $123.03 | $144.54 | $269.15 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $66.07 Typical High $97.72 | Professional | 26 · Professional part | $52.48 | $66.07 | $97.72 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $144.54 Typical High $660.69 | Professional | TC · Technical part | $91.20 | $144.54 | $660.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $407.38 Median $524.81 Typical High $933.25 | Facility | None | $407.38 | $524.81 | $933.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $177.83 Median $407.38 Typical High $549.54 | Professional | None (both parts) | $177.83 | $407.38 | $549.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $95.50 Typical High $131.83 | Professional | 26 · Professional part | $66.07 | $95.50 | $131.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $309.03 Typical High $436.52 | Professional | TC · Technical part | $114.82 | $309.03 | $436.52 |
CareSource Setting Facility Modifier None Typical Low $72.44 Median $117.49 Typical High $190.55 | Facility | None | $72.44 | $117.49 | $190.55 |
CareSource Setting Professional Modifier None (both parts) Typical Low $64.57 Median $112.20 Typical High $218.78 | Professional | None (both parts) | $64.57 | $112.20 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $933.25 Typical High $933.25 | Facility | None | $302.00 | $933.25 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $478.63 Typical High $870.96 | Professional | None (both parts) | $194.98 | $478.63 | $870.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $85.11 Typical High $158.49 | Professional | 26 · Professional part | $66.07 | $85.11 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $389.05 Typical High $676.08 | Professional | TC · Technical part | $120.23 | $389.05 | $676.08 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $489.78 Median $588.84 Typical High $2,089.30 | Facility | None | $489.78 | $588.84 | $2,089.30 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $208.93 Median $275.42 Typical High $398.11 | Professional | None (both parts) | $208.93 | $275.42 | $398.11 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $97.72 Typical High $131.83 | Professional | 26 · Professional part | $79.43 | $97.72 | $131.83 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $173.78 Typical High $251.19 | Professional | TC · Technical part | $138.04 | $173.78 | $251.19 |
United Setting Professional Modifier None (both parts) Typical Low $194.98 Median $316.23 Typical High $660.69 | Professional | None (both parts) | $194.98 | $316.23 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $79.43 Typical High $165.96 | Professional | 26 · Professional part | $64.57 | $79.43 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $204.17 Typical High $537.03 | Professional | TC · Technical part | $125.89 | $204.17 | $537.03 |
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 $97.72 Median $100.00 Typical High $186.21 | Professional | 52 · Reduced service | $97.72 | $100.00 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $39.81 Typical High $74.13 | Professional | 53 · Discontinued | $38.90 | $39.81 | $74.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $151.36 Median $169.82 Typical High $302.00 | Professional | FX · Film X-ray | $151.36 | $169.82 | $302.00 |
Where Indiana sits
The same service costs 24.0 times more in Vermont 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· 27th of 51
$363
VT $2,951UT $123
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.