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 $309.03 Median $645.65 Typical High $1,659.59 | Facility | None | $309.03 | $645.65 | $1,659.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $239.88 Typical High $346.74 | Professional | None (both parts) | $229.09 | $239.88 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $58.88 Typical High $74.13 | Professional | 26 · Professional part | $56.23 | $58.88 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $173.78 Typical High $229.09 | Professional | TC · Technical part | $169.82 | $173.78 | $229.09 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $204.17 | Professional | None (both parts) | $165.96 | $165.96 | $204.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $338.84 Median $416.87 Typical High $724.44 | Facility | None | $338.84 | $416.87 | $724.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $218.78 Median $338.84 Typical High $457.09 | Professional | None (both parts) | $218.78 | $338.84 | $457.09 |
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 $165.96 Median $263.03 Typical High $371.54 | Professional | TC · Technical part | $165.96 | $263.03 | $371.54 |
CareSource Setting Facility Modifier None Typical Low $58.88 Median $186.21 Typical High $245.47 | Facility | None | $58.88 | $186.21 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $724.44 Typical High $724.44 | Facility | None | $478.63 | $724.44 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $426.58 Typical High $660.69 | Professional | None (both parts) | $251.19 | $426.58 | $660.69 |
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 $194.98 Median $323.59 Typical High $501.19 | Professional | TC · Technical part | $194.98 | $323.59 | $501.19 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $380.19 Median $776.25 Typical High $2,089.30 | Facility | None | $380.19 | $776.25 | $2,089.30 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $275.42 Median $363.08 Typical High $489.78 | Professional | None (both parts) | $275.42 | $363.08 | $489.78 |
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 $213.80 Median $281.84 Typical High $380.19 | Professional | TC · Technical part | $213.80 | $281.84 | $380.19 |
United Setting Professional Modifier None (both parts) Typical Low $239.88 Median $354.81 Typical High $588.84 | Professional | None (both parts) | $239.88 | $354.81 | $588.84 |
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 $181.97 Median $275.42 Typical High $478.63 | Professional | TC · Technical part | $181.97 | $275.42 | $478.63 |
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 $114.82 Median $114.82 Typical High $144.54 | Professional | 52 · Reduced service | $114.82 | $114.82 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $57.54 | Professional | 53 · Discontinued | $45.71 | $45.71 | $57.54 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $186.21 Median $208.93 Typical High $234.42 | Professional | CT · Older CT scanner | $186.21 | $208.93 | $234.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $173.78 Median $199.53 Typical High $218.78 | Professional | FX · Film X-ray | $173.78 | $199.53 | $218.78 |
Where Indiana sits
The same service costs 5.0 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· 32nd of 51
$339
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.