How much rates vary
Facilitymedian $933 · 10th to 90th $537 to $1,479Professionalmedian $525 · 10th to 90th $331 to $776
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 $389.05 Median $891.25 Typical High $2,137.96 | Facility | None | $389.05 | $891.25 | $2,137.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $371.54 Typical High $562.34 | Professional | None (both parts) | $346.74 | $371.54 | $562.34 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $87.10 Typical High $131.83 | Professional | 26 · Professional part | $87.10 | $87.10 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $257.04 Typical High $371.54 | Professional | TC · Technical part | $257.04 | $257.04 | $371.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | 26 · Professional part | $100.00 | $100.00 | $100.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $537.03 Median $933.25 Typical High $1,202.26 | Facility | None | $537.03 | $933.25 | $1,202.26 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $316.23 Median $537.03 Typical High $724.44 | Professional | None (both parts) | $316.23 | $537.03 | $724.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $120.23 Typical High $162.18 | Professional | 26 · Professional part | $79.43 | $120.23 | $162.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $416.87 Typical High $588.84 | Professional | TC · Technical part | $234.42 | $416.87 | $588.84 |
CareSource Setting Facility Modifier None Typical Low $87.10 Median $245.47 Typical High $331.13 | Facility | None | $87.10 | $245.47 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $933.25 Typical High $933.25 | Facility | None | $794.33 | $933.25 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $588.84 Typical High $891.25 | Professional | None (both parts) | $346.74 | $588.84 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $107.15 Typical High $190.55 | Professional | 26 · Professional part | $79.43 | $107.15 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $478.63 Typical High $676.08 | Professional | TC · Technical part | $251.19 | $478.63 | $676.08 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $776.25 Median $954.99 Typical High $2,089.30 | Facility | None | $776.25 | $954.99 | $2,089.30 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $371.54 Median $489.78 Typical High $660.69 | Professional | None (both parts) | $371.54 | $489.78 | $660.69 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $117.49 Typical High $158.49 | Professional | 26 · Professional part | $95.50 | $117.49 | $158.49 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $363.08 Typical High $512.86 | Professional | TC · Technical part | $281.84 | $363.08 | $512.86 |
United Setting Professional Modifier None (both parts) Typical Low $331.13 Median $489.78 Typical High $812.83 | Professional | None (both parts) | $331.13 | $489.78 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $95.50 Typical High $194.98 | Professional | 26 · Professional part | $75.86 | $95.50 | $194.98 |
United Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $389.05 Typical High $676.08 | Professional | TC · Technical part | $257.04 | $389.05 | $676.08 |
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 $173.78 Median $173.78 Typical High $245.47 | Professional | 52 · Reduced service | $173.78 | $173.78 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $100.00 | Professional | 53 · Discontinued | $69.18 | $69.18 | $100.00 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $263.03 Median $295.12 Typical High $371.54 | Professional | FX · Film X-ray | $263.03 | $295.12 | $371.54 |
Where Indiana sits
The same service costs 5.6 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· 26th of 51
$537
WY $1,380UT $245
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.