How much rates vary
Facilitymedian $490 · 10th to 90th $174 to $6,607Professionalmedian $195 · 10th to 90th $98 to $389
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $4,073.80 Typical High $5,495.41 | Facility | None | $100.00 | $4,073.80 | $5,495.41 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $100.00 Typical High $114.82 | Professional | None (both parts) | $93.33 | $100.00 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $37.15 Typical High $39.81 | Professional | 26 · Professional part | $33.88 | $37.15 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $63.10 Typical High $67.61 | Professional | TC · Technical part | $57.54 | $63.10 | $67.61 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None (both parts) | $91.20 | $91.20 | $91.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $275.42 Median $489.78 Typical High $7,943.28 | Facility | None | $275.42 | $489.78 | $7,943.28 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $109.65 Median $275.42 Typical High $371.54 | Professional | None (both parts) | $109.65 | $275.42 | $371.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $54.95 Typical High $74.13 | Professional | 26 · Professional part | $38.90 | $54.95 | $74.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $218.78 Typical High $295.12 | Professional | TC · Technical part | $75.86 | $218.78 | $295.12 |
CareSource Setting Facility Modifier None Typical Low $40.74 Median $67.61 Typical High $107.15 | Facility | None | $40.74 | $67.61 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $218.78 Typical High $6,606.93 | Facility | None | $173.78 | $218.78 | $6,606.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $204.17 Typical High $489.78 | Professional | None (both parts) | $100.00 | $204.17 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $47.86 Typical High $75.86 | Professional | 26 · Professional part | $38.02 | $47.86 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $114.82 Typical High $354.81 | Professional | TC · Technical part | $63.10 | $114.82 | $354.81 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $331.13 Median $912.01 Typical High $2,137.96 | Facility | None | $331.13 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $114.82 Median $144.54 Typical High $223.87 | Professional | None (both parts) | $114.82 | $144.54 | $223.87 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $50.12 Typical High $77.62 | Professional | 26 · Professional part | $41.69 | $50.12 | $77.62 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $91.20 Typical High $141.25 | Professional | TC · Technical part | $74.13 | $91.20 | $141.25 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $134.90 Typical High $331.13 | Professional | None (both parts) | $95.50 | $134.90 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $44.67 Typical High $79.43 | Professional | 26 · Professional part | $37.15 | $44.67 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $85.11 Typical High $234.42 | Professional | TC · Technical part | $54.95 | $85.11 | $234.42 |
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 $46.77 Median $50.12 Typical High $52.48 | Professional | 52 · Reduced service | $46.77 | $50.12 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $19.95 Typical High $21.38 | Professional | 53 · Discontinued | $18.62 | $19.95 | $21.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $70.79 Median $83.18 Typical High $85.11 | Professional | FX · Film X-ray | $70.79 | $83.18 | $85.11 |
Where Indiana sits
The same service costs 4.0 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· 11th of 51
$204
AK $339FL $85.11
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.