How much rates vary
Facilitymedian $200 · 10th to 90th $30 to $912Professionalmedian $30 · 10th to 90th $25 to $51
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 $29.51 Median $60.26 Typical High $316.23 | Facility | None | $29.51 | $60.26 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $29.51 Typical High $38.02 | Professional | None (both parts) | $26.92 | $29.51 | $38.02 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.41 Typical High $10.00 | Professional | 26 · Professional part | $7.08 | $7.41 | $10.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $21.88 Typical High $26.30 | Professional | TC · Technical part | $19.50 | $21.88 | $26.30 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $25.12 Median $25.12 Typical High $39.81 | Professional | None (both parts) | $25.12 | $25.12 | $39.81 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $6.46 Typical High $12.02 | Professional | 26 · Professional part | $6.46 | $6.46 | $12.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $28.84 Median $199.53 Typical High $371.54 | Facility | None | $28.84 | $199.53 | $371.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $25.12 Median $29.51 Typical High $42.66 | Professional | None (both parts) | $25.12 | $29.51 | $42.66 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $11.48 Typical High $15.49 | Professional | 26 · Professional part | $7.94 | $11.48 | $15.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $18.20 Typical High $28.84 | Professional | TC · Technical part | $15.49 | $18.20 | $28.84 |
CareSource Setting Facility Modifier None Typical Low $8.51 Median $23.99 Typical High $32.36 | Facility | None | $8.51 | $23.99 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $199.53 Typical High $467.74 | Facility | None | $61.66 | $199.53 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $33.88 Typical High $63.10 | Professional | None (both parts) | $28.84 | $33.88 | $63.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $10.00 Typical High $14.79 | Professional | 26 · Professional part | $7.76 | $10.00 | $14.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $23.44 Typical High $46.77 | Professional | TC · Technical part | $19.50 | $23.44 | $46.77 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $95.50 Median $912.01 Typical High $2,137.96 | Facility | None | $95.50 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $33.11 Median $40.74 Typical High $60.26 | Professional | None (both parts) | $33.11 | $40.74 | $60.26 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $10.72 Typical High $15.85 | Professional | 26 · Professional part | $8.51 | $10.72 | $15.85 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $30.20 Typical High $45.71 | Professional | TC · Technical part | $25.12 | $30.20 | $45.71 |
United Setting Professional Modifier None (both parts) Typical Low $26.30 Median $32.36 Typical High $57.54 | Professional | None (both parts) | $26.30 | $32.36 | $57.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $9.12 Typical High $15.49 | Professional | 26 · Professional part | $7.59 | $9.12 | $15.49 |
United Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $23.44 Typical High $42.66 | Professional | TC · Technical part | $18.20 | $23.44 | $42.66 |
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 $13.80 Median $14.79 Typical High $15.85 | Professional | 52 · Reduced service | $13.80 | $14.79 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $5.89 Typical High $6.31 | Professional | 53 · Discontinued | $5.50 | $5.89 | $6.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $21.38 Median $24.55 Typical High $25.12 | Professional | FX · Film X-ray | $21.38 | $24.55 | $25.12 |
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· 47th of 51
$30.90
AK $95.50FL $25.70
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.