How much rates vary
Facilitymedian $324 · 10th to 90th $105 to $2,399Professionalmedian $155 · 10th to 90th $98 to $245
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 $100.00 Median $1,659.59 Typical High $2,290.87 | Facility | None | $100.00 | $1,659.59 | $2,290.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $100.00 Typical High $120.23 | Professional | None (both parts) | $91.20 | $100.00 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $37.15 Typical High $40.74 | Professional | 26 · Professional part | $33.88 | $37.15 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $63.10 Typical High $69.18 | Professional | TC · Technical part | $56.23 | $63.10 | $69.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $181.97 Median $398.11 Typical High $3,235.94 | Facility | None | $181.97 | $398.11 | $3,235.94 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $102.33 Median $181.97 Typical High $245.47 | Professional | None (both parts) | $102.33 | $181.97 | $245.47 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $53.70 Typical High $72.44 | Professional | 26 · Professional part | $38.02 | $53.70 | $72.44 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $125.89 Typical High $169.82 | Professional | TC · Technical part | $64.57 | $125.89 | $169.82 |
CareSource Setting Facility Modifier None Typical Low $40.74 Median $64.57 Typical High $104.71 | Facility | None | $40.74 | $64.57 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $213.80 Typical High $2,754.23 | Facility | None | $102.33 | $213.80 | $2,754.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $186.21 Typical High $295.12 | Professional | None (both parts) | $100.00 | $186.21 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $46.77 Typical High $74.13 | Professional | 26 · Professional part | $38.02 | $46.77 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $109.65 Typical High $190.55 | Professional | TC · Technical part | $61.66 | $109.65 | $190.55 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $309.03 Median $912.01 Typical High $2,137.96 | Facility | None | $309.03 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $112.20 Median $134.90 Typical High $208.93 | Professional | None (both parts) | $112.20 | $134.90 | $208.93 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $51.29 Typical High $77.62 | Professional | 26 · Professional part | $41.69 | $51.29 | $77.62 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $85.11 Typical High $131.83 | Professional | TC · Technical part | $70.79 | $85.11 | $131.83 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $134.90 Typical High $229.09 | Professional | None (both parts) | $91.20 | $134.90 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $43.65 Typical High $77.62 | Professional | 26 · Professional part | $35.48 | $43.65 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $85.11 Typical High $158.49 | Professional | TC · Technical part | $53.70 | $85.11 | $158.49 |
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 $45.71 Median $50.12 Typical High $52.48 | Professional | 52 · Reduced service | $45.71 | $50.12 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $19.95 Typical High $20.89 | Professional | 53 · Discontinued | $18.20 | $19.95 | $20.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $69.18 Median $81.28 Typical High $83.18 | Professional | FX · Film X-ray | $69.18 | $81.28 | $83.18 |
Where Indiana sits
The same service costs 4.3 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· 23rd of 51
$155
AK $324UT $75.86
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.