How much rates vary
Facilitymedian $363 · 10th to 90th $123 to $1,096Professionalmedian $115 · 10th to 90th $87 to $195
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 $123.03 Median $851.14 Typical High $1,096.48 | Facility | None | $123.03 | $851.14 | $1,096.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $123.03 Typical High $134.90 | Professional | None (both parts) | $109.65 | $123.03 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $25.12 Typical High $28.18 | Professional | 26 · Professional part | $23.44 | $25.12 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $97.72 Typical High $102.33 | Professional | TC · Technical part | $83.18 | $97.72 | $102.33 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $89.13 | Professional | None (both parts) | $75.86 | $75.86 | $89.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $95.50 Median $199.53 Typical High $1,258.93 | Facility | None | $95.50 | $199.53 | $1,258.93 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $81.28 Median $95.50 Typical High $144.54 | Professional | None (both parts) | $81.28 | $95.50 | $144.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $35.48 Typical High $50.12 | Professional | 26 · Professional part | $25.70 | $35.48 | $50.12 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $123.03 Median $144.54 Typical High $218.78 | Professional | 50 · Both sides | $123.03 | $144.54 | $218.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $60.26 Typical High $104.71 | Professional | TC · Technical part | $51.29 | $60.26 | $104.71 |
CareSource Setting Facility Modifier None Typical Low $27.54 Median $97.72 Typical High $125.89 | Facility | None | $27.54 | $97.72 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $239.88 Typical High $1,023.29 | Facility | None | $199.53 | $239.88 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $125.89 Typical High $223.87 | Professional | None (both parts) | $97.72 | $125.89 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $31.62 Typical High $50.12 | Professional | 26 · Professional part | $25.70 | $31.62 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $87.10 Typical High $194.98 | Professional | TC · Technical part | $67.61 | $87.10 | $194.98 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $371.54 Median $912.01 Typical High $2,137.96 | Facility | None | $371.54 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $125.89 Median $162.18 Typical High $239.88 | Professional | None (both parts) | $125.89 | $162.18 | $239.88 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $33.11 Typical High $50.12 | Professional | 26 · Professional part | $27.54 | $33.11 | $50.12 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $128.82 Typical High $194.98 | Professional | TC · Technical part | $97.72 | $128.82 | $194.98 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $125.89 Typical High $223.87 | Professional | None (both parts) | $93.33 | $125.89 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $29.51 Typical High $50.12 | Professional | 26 · Professional part | $24.55 | $29.51 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $97.72 Typical High $177.83 | Professional | TC · Technical part | $66.07 | $97.72 | $177.83 |
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 $54.95 Median $60.26 Typical High $64.57 | Professional | 52 · Reduced service | $54.95 | $60.26 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $24.55 Typical High $25.70 | Professional | 53 · Discontinued | $21.88 | $24.55 | $25.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $81.28 Median $100.00 Typical High $104.71 | Professional | FX · Film X-ray | $81.28 | $100.00 | $104.71 |
Where Indiana sits
The same service costs 4.2 times more in Alaska than in New York. 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· 45th of 51
$117
AK $398NY $95.50
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.