How much rates vary
Facilitymedian $646 · 10th to 90th $275 to $1,445Professionalmedian $380 · 10th to 90th $214 to $589
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 $263.03 Median $489.78 Typical High $1,445.44 | Facility | None | $263.03 | $489.78 | $1,445.44 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $70.79 Median $85.11 Typical High $123.03 | Facility | 26 · Professional part | $70.79 | $85.11 | $123.03 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $165.96 Median $208.93 Typical High $281.84 | Facility | TC · Technical part | $165.96 | $208.93 | $281.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $251.19 Typical High $524.81 | Professional | None (both parts) | $234.42 | $251.19 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $74.13 Typical High $131.83 | Professional | 26 · Professional part | $70.79 | $74.13 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $177.83 Typical High $338.84 | Professional | TC · Technical part | $165.96 | $177.83 | $338.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $181.97 | Professional | None (both parts) | $169.82 | $169.82 | $181.97 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $64.57 Typical High $95.50 | Professional | 26 · Professional part | $61.66 | $64.57 | $95.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $380.19 Median $524.81 Typical High $933.25 | Facility | None | $380.19 | $524.81 | $933.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $213.80 Median $380.19 Typical High $512.86 | Professional | None (both parts) | $213.80 | $380.19 | $512.86 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $69.18 Typical High $100.00 | Professional | 26 · Professional part | $58.88 | $69.18 | $100.00 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $309.03 Typical High $436.52 | Professional | TC · Technical part | $147.91 | $309.03 | $436.52 |
CareSource Setting Facility Modifier None Typical Low $70.79 Median $151.36 Typical High $223.87 | Facility | None | $70.79 | $151.36 | $223.87 |
CareSource Setting Professional Modifier None (both parts) Typical Low $64.57 Median $147.91 Typical High $263.03 | Professional | None (both parts) | $64.57 | $147.91 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $933.25 Typical High $933.25 | Facility | None | $398.11 | $933.25 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $512.86 Typical High $831.76 | Professional | None (both parts) | $234.42 | $512.86 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $83.18 Typical High $154.88 | Professional | 26 · Professional part | $66.07 | $83.18 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $436.52 Typical High $602.56 | Professional | TC · Technical part | $162.18 | $436.52 | $602.56 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $489.78 Median $707.95 Typical High $2,089.30 | Facility | None | $489.78 | $707.95 | $2,089.30 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $251.19 Median $331.13 Typical High $478.63 | Professional | None (both parts) | $251.19 | $331.13 | $478.63 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $95.50 Typical High $128.82 | Professional | 26 · Professional part | $77.62 | $95.50 | $128.82 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $229.09 Typical High $338.84 | Professional | TC · Technical part | $177.83 | $229.09 | $338.84 |
United Setting Professional Modifier None (both parts) Typical Low $245.47 Median $407.38 Typical High $691.83 | Professional | None (both parts) | $245.47 | $407.38 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $77.62 Typical High $165.96 | Professional | 26 · Professional part | $63.10 | $77.62 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $295.12 Typical High $537.03 | Professional | TC · Technical part | $173.78 | $295.12 | $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 $117.49 Median $117.49 Typical High $186.21 | Professional | 52 · Reduced service | $117.49 | $117.49 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $47.86 Typical High $75.86 | Professional | 53 · Discontinued | $46.77 | $47.86 | $75.86 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $177.83 Median $204.17 Typical High $309.03 | Professional | FX · Film X-ray | $177.83 | $204.17 | $309.03 |
Where Indiana sits
The same service costs 6.0 times more in Wyoming 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· 31st of 51
$380
WY $912UT $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.