How much rates vary
Facilitymedian $102 · 10th to 90th $32 to $355Professionalmedian $30 · 10th to 90th $23 to $48
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 $30.20 Median $43.65 Typical High $186.21 | Facility | None | $30.20 | $43.65 | $186.21 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.41 Median $9.77 Typical High $12.88 | Facility | 26 · Professional part | $7.41 | $9.77 | $12.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $22.91 Median $28.84 Typical High $39.81 | Facility | TC · Technical part | $22.91 | $28.84 | $39.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $30.20 Typical High $47.86 | Professional | None (both parts) | $26.30 | $30.20 | $47.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.76 Typical High $11.75 | Professional | 26 · Professional part | $7.08 | $7.76 | $11.75 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $22.39 Typical High $35.48 | Professional | TC · Technical part | $19.50 | $22.39 | $35.48 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $25.12 Median $33.11 Typical High $46.77 | Professional | None (both parts) | $25.12 | $33.11 | $46.77 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $7.59 Typical High $11.48 | Professional | 26 · Professional part | $6.46 | $7.59 | $11.48 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $23.44 Typical High $34.67 | Professional | TC · Technical part | $15.85 | $23.44 | $34.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $28.18 Median $186.21 Typical High $269.15 | Facility | None | $28.18 | $186.21 | $269.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $15.14 Median $28.18 Typical High $39.81 | Professional | None (both parts) | $15.14 | $28.18 | $39.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $10.47 Typical High $14.79 | Professional | 26 · Professional part | $7.59 | $10.47 | $14.79 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $36.31 Median $42.66 Typical High $64.57 | Professional | 50 · Both sides | $36.31 | $42.66 | $64.57 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $17.78 Typical High $28.84 | Professional | TC · Technical part | $15.14 | $17.78 | $28.84 |
CareSource Setting Facility Modifier None Typical Low $8.32 Median $23.44 Typical High $31.62 | Facility | None | $8.32 | $23.44 | $31.62 |
CareSource Setting Professional Modifier None (both parts) Typical Low $7.41 Median $22.39 Typical High $36.31 | Professional | None (both parts) | $7.41 | $22.39 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $199.53 Typical High $251.19 | Facility | None | $60.26 | $199.53 | $251.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $33.11 Typical High $61.66 | Professional | None (both parts) | $28.18 | $33.11 | $61.66 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $9.12 Typical High $14.79 | Professional | 26 · Professional part | $7.59 | $9.12 | $14.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $23.44 Typical High $45.71 | Professional | TC · Technical part | $19.05 | $23.44 | $45.71 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $93.33 Median $912.01 Typical High $2,137.96 | Facility | None | $93.33 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $32.36 Median $38.90 Typical High $60.26 | Professional | None (both parts) | $32.36 | $38.90 | $60.26 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.23 Typical High $15.14 | Professional | 26 · Professional part | $8.32 | $10.23 | $15.14 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $29.51 Typical High $45.71 | Professional | TC · Technical part | $25.12 | $29.51 | $45.71 |
United Setting Professional Modifier None (both parts) Typical Low $25.70 Median $31.62 Typical High $56.23 | Professional | None (both parts) | $25.70 | $31.62 | $56.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $8.71 Typical High $14.79 | Professional | 26 · Professional part | $7.24 | $8.71 | $14.79 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $22.91 Typical High $41.69 | Professional | TC · Technical part | $17.78 | $22.91 | $41.69 |
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 $13.49 Median $14.45 Typical High $15.49 | Professional | 52 · Reduced service | $13.49 | $14.45 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.75 Typical High $6.17 | Professional | 53 · Discontinued | $5.37 | $5.75 | $6.17 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $20.42 Median $23.99 Typical High $24.55 | Professional | FX · Film X-ray | $20.42 | $23.99 | $24.55 |
Where Indiana sits
The same service costs 6.0 times more in Vermont 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· 46th of 51
$30.20
VT $155FL $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.