How much rates vary
Facilitymedian $891 · 10th to 90th $380 to $1,479Professionalmedian $407 · 10th to 90th $324 to $692
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 $630.96 Median $1,096.48 Typical High $2,089.30 | Facility | None | $630.96 | $1,096.48 | $2,089.30 |
Aetna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $562.34 | Professional | None (both parts) | $338.84 | $338.84 | $562.34 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $79.43 Typical High $112.20 | Professional | 26 · Professional part | $77.62 | $79.43 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $263.03 Typical High $380.19 | Professional | TC · Technical part | $257.04 | $263.03 | $380.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $407.38 Median $524.81 Typical High $1,318.26 | Facility | None | $407.38 | $524.81 | $1,318.26 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $309.03 Median $407.38 Typical High $549.54 | Professional | None (both parts) | $309.03 | $407.38 | $549.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $74.13 Typical High $104.71 | Professional | 26 · Professional part | $63.10 | $74.13 | $104.71 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $457.09 Median $616.60 Typical High $831.76 | Professional | 50 · Both sides | $457.09 | $616.60 | $831.76 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $338.84 Typical High $457.09 | Professional | TC · Technical part | $234.42 | $338.84 | $457.09 |
CareSource Setting Facility Modifier None Typical Low $79.43 Median $245.47 Typical High $323.59 | Facility | None | $79.43 | $245.47 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $660.69 Typical High $851.14 | Facility | None | $331.13 | $660.69 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $588.84 Typical High $933.25 | Professional | None (both parts) | $331.13 | $588.84 | $933.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $91.20 Typical High $151.36 | Professional | 26 · Professional part | $72.44 | $91.20 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $478.63 Typical High $660.69 | Professional | TC · Technical part | $257.04 | $478.63 | $660.69 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $954.99 Typical High $2,137.96 | Facility | None | $912.01 | $954.99 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $363.08 Median $478.63 Typical High $660.69 | Professional | None (both parts) | $363.08 | $478.63 | $660.69 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $107.15 Typical High $144.54 | Professional | 26 · Professional part | $85.11 | $107.15 | $144.54 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $363.08 Typical High $512.86 | Professional | TC · Technical part | $281.84 | $363.08 | $512.86 |
United Setting Professional Modifier None (both parts) Typical Low $346.74 Median $512.86 Typical High $891.25 | Professional | None (both parts) | $346.74 | $512.86 | $891.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $87.10 Typical High $181.97 | Professional | 26 · Professional part | $70.79 | $87.10 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $416.87 Typical High $741.31 | Professional | TC · Technical part | $269.15 | $416.87 | $741.31 |
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 $169.82 Median $169.82 Typical High $245.47 | Professional | 52 · Reduced service | $169.82 | $169.82 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $67.61 Typical High $97.72 | Professional | 53 · Discontinued | $67.61 | $67.61 | $97.72 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $257.04 Median $295.12 Typical High $371.54 | Professional | FX · Film X-ray | $257.04 | $295.12 | $371.54 |
Where Indiana sits
The same service costs 5.4 times more in Wyoming 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· 44th of 51
$407
WY $1,318UT $245
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.