How much rates vary
Facilitymedian $724 · 10th to 90th $302 to $1,175Professionalmedian $347 · 10th to 90th $257 to $603
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 $302.00 Median $407.38 Typical High $1,659.59 | Facility | None | $302.00 | $407.38 | $1,659.59 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $87.10 Median $104.71 Typical High $109.65 | Facility | 26 · Professional part | $87.10 | $104.71 | $109.65 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $173.78 Median $218.78 Typical High $275.42 | Facility | TC · Technical part | $173.78 | $218.78 | $275.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $269.15 Typical High $389.05 | Professional | None (both parts) | $257.04 | $269.15 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $87.10 Typical High $107.15 | Professional | 26 · Professional part | $83.18 | $87.10 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $173.78 Typical High $245.47 | Professional | TC · Technical part | $169.82 | $173.78 | $245.47 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None (both parts) | $371.54 | $371.54 | $371.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $117.49 | Professional | 26 · Professional part | $79.43 | $79.43 | $117.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $346.74 Median $724.44 Typical High $1,071.52 | Facility | None | $346.74 | $724.44 | $1,071.52 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $245.47 Median $346.74 Typical High $489.78 | Professional | None (both parts) | $245.47 | $346.74 | $489.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $79.43 Typical High $117.49 | Professional | 26 · Professional part | $67.61 | $79.43 | $117.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $263.03 Typical High $371.54 | Professional | TC · Technical part | $165.96 | $263.03 | $371.54 |
CareSource Setting Facility Modifier None Typical Low $87.10 Median $204.17 Typical High $295.12 | Facility | None | $87.10 | $204.17 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $724.44 Typical High $724.44 | Facility | None | $524.81 | $724.44 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $436.52 Typical High $812.83 | Professional | None (both parts) | $295.12 | $436.52 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $100.00 Typical High $190.55 | Professional | 26 · Professional part | $79.43 | $100.00 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $331.13 Typical High $549.54 | Professional | TC · Technical part | $213.80 | $331.13 | $549.54 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $831.76 Median $912.01 Typical High $2,137.96 | Facility | None | $831.76 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $323.59 Median $426.58 Typical High $562.34 | Professional | None (both parts) | $323.59 | $426.58 | $562.34 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $120.23 Typical High $158.49 | Professional | 26 · Professional part | $95.50 | $120.23 | $158.49 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $302.00 Typical High $426.58 | Professional | TC · Technical part | $234.42 | $302.00 | $426.58 |
United Setting Professional Modifier None (both parts) Typical Low $295.12 Median $416.87 Typical High $741.31 | Professional | None (both parts) | $295.12 | $416.87 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $95.50 Typical High $181.97 | Professional | 26 · Professional part | $77.62 | $95.50 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $309.03 Typical High $562.34 | Professional | TC · Technical part | $208.93 | $309.03 | $562.34 |
4 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 $128.82 Median $128.82 Typical High $165.96 | Professional | 52 · Reduced service | $128.82 | $128.82 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $66.07 | Professional | 53 · Discontinued | $51.29 | $51.29 | $66.07 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $208.93 Median $234.42 Typical High $269.15 | Professional | CT · Older CT scanner | $208.93 | $234.42 | $269.15 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $194.98 Median $223.87 Typical High $257.04 | Professional | FX · Film X-ray | $194.98 | $223.87 | $257.04 |
Where Indiana sits
The same service costs 6.0 times more in Alaska than in Utah. 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· 39th of 51
$347
AK $1,000UT $166
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.