How much rates vary
Facilitymedian $200 · 10th to 90th $41 to $468Professionalmedian $39 · 10th to 90th $32 to $66
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 $38.90 Median $56.23 Typical High $251.19 | Facility | None | $38.90 | $56.23 | $251.19 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $11.48 Median $14.13 Typical High $19.95 | Facility | 26 · Professional part | $11.48 | $14.13 | $19.95 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $26.92 Median $36.31 Typical High $54.95 | Facility | TC · Technical part | $26.92 | $36.31 | $54.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $38.02 Typical High $58.88 | Professional | None (both parts) | $35.48 | $38.02 | $58.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $11.22 Typical High $17.38 | Professional | 26 · Professional part | $10.00 | $11.22 | $17.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $26.92 Typical High $36.31 | Professional | TC · Technical part | $24.55 | $26.92 | $36.31 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $30.20 Median $47.86 Typical High $60.26 | Professional | None (both parts) | $30.20 | $47.86 | $60.26 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $36.31 Typical High $44.67 | Professional | TC · Technical part | $28.84 | $36.31 | $44.67 |
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 $32.36 Median $38.90 Typical High $54.95 | Professional | None (both parts) | $32.36 | $38.90 | $54.95 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $14.13 Typical High $19.95 | Professional | 26 · Professional part | $11.22 | $14.13 | $19.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $24.55 Typical High $37.15 | Professional | TC · Technical part | $20.89 | $24.55 | $37.15 |
CareSource Setting Facility Modifier None Typical Low $12.30 Median $28.18 Typical High $40.74 | Facility | None | $12.30 | $28.18 | $40.74 |
CareSource Setting Professional Modifier None (both parts) Typical Low $11.22 Median $26.92 Typical High $47.86 | Professional | None (both parts) | $11.22 | $26.92 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $199.53 Typical High $467.74 | Facility | None | $72.44 | $199.53 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $42.66 Typical High $81.28 | Professional | None (both parts) | $37.15 | $42.66 | $81.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $12.88 Typical High $22.39 | Professional | 26 · Professional part | $11.22 | $12.88 | $22.39 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $30.20 Typical High $61.66 | Professional | TC · Technical part | $25.70 | $30.20 | $61.66 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $123.03 Median $912.01 Typical High $2,137.96 | Facility | None | $123.03 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $42.66 Median $51.29 Typical High $77.62 | Professional | None (both parts) | $42.66 | $51.29 | $77.62 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $15.14 Typical High $21.88 | Professional | 26 · Professional part | $12.59 | $15.14 | $21.88 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $36.31 Typical High $54.95 | Professional | TC · Technical part | $30.20 | $36.31 | $54.95 |
United Setting Professional Modifier None (both parts) Typical Low $34.67 Median $42.66 Typical High $75.86 | Professional | None (both parts) | $34.67 | $42.66 | $75.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $12.88 Typical High $22.39 | Professional | 26 · Professional part | $10.47 | $12.88 | $22.39 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $30.20 Typical High $54.95 | Professional | TC · Technical part | $24.55 | $30.20 | $54.95 |
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 $17.78 Median $19.05 Typical High $20.42 | Professional | 52 · Reduced service | $17.78 | $19.05 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.59 Typical High $8.13 | Professional | 53 · Discontinued | $7.08 | $7.59 | $8.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $26.30 Median $31.62 Typical High $32.36 | Professional | FX · Film X-ray | $26.30 | $31.62 | $32.36 |
Where Indiana sits
The same service costs 3.7 times more in Alaska 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
$39.81
AK $123FL $33.11
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.