How much rates vary
Facilitymedian $871 · 10th to 90th $331 to $1,445Professionalmedian $437 · 10th to 90th $269 to $708
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 $331.13 Median $851.14 Typical High $1,905.46 | Facility | None | $331.13 | $851.14 | $1,905.46 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $194.98 Median $229.09 Typical High $331.13 | Facility | TC · Technical part | $194.98 | $229.09 | $331.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $295.12 Typical High $524.81 | Professional | None (both parts) | $275.42 | $295.12 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $85.11 Typical High $125.89 | Professional | 26 · Professional part | $83.18 | $85.11 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $194.98 Typical High $316.23 | Professional | TC · Technical part | $190.55 | $194.98 | $316.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $75.86 | Professional | 26 · Professional part | $61.66 | $61.66 | $75.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $457.09 Median $870.96 Typical High $933.25 | Facility | None | $457.09 | $870.96 | $933.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $251.19 Median $436.52 Typical High $588.84 | Professional | None (both parts) | $251.19 | $436.52 | $588.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $102.33 Typical High $147.91 | Professional | 26 · Professional part | $75.86 | $102.33 | $147.91 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $338.84 Typical High $478.63 | Professional | TC · Technical part | $173.78 | $338.84 | $478.63 |
CareSource Setting Facility Modifier None Typical Low $83.18 Median $181.97 Typical High $263.03 | Facility | None | $83.18 | $181.97 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $933.25 Typical High $933.25 | Facility | None | $467.74 | $933.25 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $602.56 Typical High $954.99 | Professional | None (both parts) | $275.42 | $602.56 | $954.99 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $97.72 Typical High $186.21 | Professional | 26 · Professional part | $77.62 | $97.72 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $478.63 Typical High $724.44 | Professional | TC · Technical part | $190.55 | $478.63 | $724.44 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $758.58 Median $831.76 Typical High $2,089.30 | Facility | None | $758.58 | $831.76 | $2,089.30 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $295.12 Median $389.05 Typical High $549.54 | Professional | None (both parts) | $295.12 | $389.05 | $549.54 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $112.20 Typical High $154.88 | Professional | 26 · Professional part | $91.20 | $112.20 | $154.88 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $269.15 Typical High $389.05 | Professional | TC · Technical part | $208.93 | $269.15 | $389.05 |
United Setting Professional Modifier None (both parts) Typical Low $281.84 Median $457.09 Typical High $812.83 | Professional | None (both parts) | $281.84 | $457.09 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $93.33 Typical High $194.98 | Professional | 26 · Professional part | $74.13 | $93.33 | $194.98 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $331.13 Typical High $630.96 | Professional | TC · Technical part | $204.17 | $331.13 | $630.96 |
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 $138.04 Median $138.04 Typical High $204.17 | Professional | 52 · Reduced service | $138.04 | $138.04 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $54.95 Typical High $81.28 | Professional | 53 · Discontinued | $54.95 | $54.95 | $81.28 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $208.93 Median $239.88 Typical High $338.84 | Professional | FX · Film X-ray | $208.93 | $239.88 | $338.84 |
Where Indiana sits
The same service costs 5.6 times more in Wyoming than in Texas. 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
$437
WY $1,072TX $191
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.