How much rates vary
Facilitymedian $174 · 10th to 90th $23 to $355Professionalmedian $25 · 10th to 90th $18 to $39
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 $19.50 Median $28.18 Typical High $186.21 | Facility | None | $19.50 | $28.18 | $186.21 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $6.76 Median $8.71 Typical High $10.72 | Facility | 26 · Professional part | $6.76 | $8.71 | $10.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $12.59 Median $16.22 Typical High $22.39 | Facility | TC · Technical part | $12.59 | $16.22 | $22.39 |
Aetna Setting Professional Modifier None (both parts) Typical Low $17.78 Median $20.42 Typical High $29.51 | Professional | None (both parts) | $17.78 | $20.42 | $29.51 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $6.76 Typical High $10.23 | Professional | 26 · Professional part | $6.31 | $6.76 | $10.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $11.75 Median $12.88 Typical High $19.05 | Professional | TC · Technical part | $11.75 | $12.88 | $19.05 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $14.45 Median $20.42 Typical High $30.20 | Professional | None (both parts) | $14.45 | $20.42 | $30.20 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | 26 · Professional part | $7.08 | $7.08 | $7.08 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 50 · Both sides | $30.90 | $30.90 | $30.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.70 Median $186.21 Typical High $269.15 | Facility | None | $25.70 | $186.21 | $269.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $20.42 Median $25.70 Typical High $38.02 | Professional | None (both parts) | $20.42 | $25.70 | $38.02 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $10.00 Typical High $13.80 | Professional | 26 · Professional part | $7.08 | $10.00 | $13.80 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $30.20 Median $38.90 Typical High $57.54 | Professional | 50 · Both sides | $30.20 | $38.90 | $57.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $13.18 Median $15.85 Typical High $24.55 | Professional | TC · Technical part | $13.18 | $15.85 | $24.55 |
CareSource Setting Facility Modifier None Typical Low $7.59 Median $13.49 Typical High $20.89 | Facility | None | $7.59 | $13.49 | $20.89 |
CareSource Setting Professional Modifier None (both parts) Typical Low $6.92 Median $12.88 Typical High $24.55 | Professional | None (both parts) | $6.92 | $12.88 | $24.55 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $199.53 Typical High $251.19 | Facility | None | $38.02 | $199.53 | $251.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $19.95 Median $28.84 Typical High $48.98 | Professional | None (both parts) | $19.95 | $28.84 | $48.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $8.71 Typical High $13.80 | Professional | 26 · Professional part | $7.08 | $8.71 | $13.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $13.18 Median $19.95 Typical High $31.62 | Professional | TC · Technical part | $13.18 | $19.95 | $31.62 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $61.66 Median $912.01 Typical High $2,137.96 | Facility | None | $61.66 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $21.38 Median $26.92 Typical High $41.69 | Professional | None (both parts) | $21.38 | $26.92 | $41.69 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $9.33 Typical High $14.13 | Professional | 26 · Professional part | $7.59 | $9.33 | $14.13 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $17.78 Typical High $27.54 | Professional | TC · Technical part | $14.13 | $17.78 | $27.54 |
United Setting Professional Modifier None (both parts) Typical Low $19.05 Median $25.12 Typical High $43.65 | Professional | None (both parts) | $19.05 | $25.12 | $43.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $8.13 Typical High $13.80 | Professional | 26 · Professional part | $6.76 | $8.13 | $13.80 |
United Setting Professional Modifier TC · Technical part Typical Low $12.30 Median $16.22 Typical High $28.18 | Professional | TC · Technical part | $12.30 | $16.22 | $28.18 |
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 $8.91 Median $9.77 Typical High $10.47 | Professional | 52 · Reduced service | $8.91 | $9.77 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $3.89 Typical High $4.17 | Professional | 53 · Discontinued | $3.63 | $3.89 | $4.17 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $13.80 Median $16.22 Typical High $16.60 | Professional | FX · Film X-ray | $13.80 | $16.22 | $16.60 |
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· 33rd of 51
$25.70
AK $64.57FL $17.38
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.