How much rates vary
Facilitymedian $112 · 10th to 90th $35 to $309Professionalmedian $36 · 10th to 90th $26 to $58
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 $35.48 Median $46.77 Typical High $186.21 | Facility | None | $35.48 | $46.77 | $186.21 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $6.17 Median $7.76 Typical High $10.72 | Facility | 26 · Professional part | $6.17 | $7.76 | $10.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $27.54 Median $37.15 Typical High $51.29 | Facility | TC · Technical part | $27.54 | $37.15 | $51.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $35.48 Typical High $56.23 | Professional | None (both parts) | $30.90 | $35.48 | $56.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $6.46 Typical High $10.00 | Professional | 26 · Professional part | $5.89 | $6.46 | $10.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $28.84 Typical High $46.77 | Professional | TC · Technical part | $24.55 | $28.84 | $46.77 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $26.30 Median $36.31 Typical High $47.86 | Professional | None (both parts) | $26.30 | $36.31 | $47.86 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $5.13 Median $5.62 Typical High $9.55 | Professional | 26 · Professional part | $5.13 | $5.62 | $9.55 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $30.20 Typical High $45.71 | Professional | TC · Technical part | $20.42 | $30.20 | $45.71 |
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 $25.70 Median $38.90 Typical High $53.70 | Professional | None (both parts) | $25.70 | $38.90 | $53.70 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $9.12 Typical High $12.30 | Professional | 26 · Professional part | $6.31 | $9.12 | $12.30 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $38.02 Median $50.12 Typical High $74.13 | Professional | 50 · Both sides | $38.02 | $50.12 | $74.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $30.20 Typical High $45.71 | Professional | TC · Technical part | $16.60 | $30.20 | $45.71 |
CareSource Setting Facility Modifier None Typical Low $6.92 Median $29.51 Typical High $36.31 | Facility | None | $6.92 | $29.51 | $36.31 |
CareSource Setting Professional Modifier None (both parts) Typical Low $6.17 Median $28.18 Typical High $44.67 | Professional | None (both parts) | $6.17 | $28.18 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $199.53 Typical High $251.19 | Facility | None | $77.62 | $199.53 | $251.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $33.88 Typical High $66.07 | Professional | None (both parts) | $25.12 | $33.88 | $66.07 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $7.59 Typical High $12.30 | Professional | 26 · Professional part | $6.31 | $7.59 | $12.30 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $26.30 Typical High $57.54 | Professional | TC · Technical part | $18.20 | $26.30 | $57.54 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $109.65 Median $912.01 Typical High $2,137.96 | Facility | None | $109.65 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $36.31 Median $45.71 Typical High $70.79 | Professional | None (both parts) | $36.31 | $45.71 | $70.79 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $8.13 Typical High $12.30 | Professional | 26 · Professional part | $6.76 | $8.13 | $12.30 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $38.02 Typical High $58.88 | Professional | TC · Technical part | $29.51 | $38.02 | $58.88 |
United Setting Professional Modifier None (both parts) Typical Low $25.70 Median $36.31 Typical High $64.57 | Professional | None (both parts) | $25.70 | $36.31 | $64.57 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $7.24 Typical High $12.30 | Professional | 26 · Professional part | $6.03 | $7.24 | $12.30 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $28.84 Typical High $52.48 | Professional | TC · Technical part | $19.50 | $28.84 | $52.48 |
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 $15.49 Median $16.98 Typical High $18.20 | Professional | 52 · Reduced service | $15.49 | $16.98 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.76 Typical High $7.24 | Professional | 53 · Discontinued | $6.17 | $6.76 | $7.24 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $23.99 Median $28.18 Typical High $28.84 | Professional | FX · Film X-ray | $23.99 | $28.18 | $28.84 |
Where Indiana sits
The same service costs 11.5 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· 40th of 51
$36.31
VT $339FL $29.51
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.