How much rates vary
Facilitymedian $550 · 10th to 90th $219 to $1,445Professionalmedian $355 · 10th to 90th $191 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 $208.93 Median $323.59 Typical High $1,445.44 | Facility | None | $208.93 | $323.59 | $1,445.44 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $66.07 Median $79.43 Typical High $102.33 | Facility | 26 · Professional part | $66.07 | $79.43 | $102.33 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $144.54 Median $169.82 Typical High $251.19 | Facility | TC · Technical part | $144.54 | $169.82 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $223.87 Typical High $512.86 | Professional | None (both parts) | $208.93 | $223.87 | $512.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $69.18 Typical High $128.82 | Professional | 26 · Professional part | $66.07 | $69.18 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $154.88 Typical High $338.84 | Professional | TC · Technical part | $141.25 | $154.88 | $338.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $138.04 Median $154.88 Typical High $288.40 | Professional | None (both parts) | $138.04 | $154.88 | $288.40 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $51.29 Typical High $75.86 | Professional | 26 · Professional part | $48.98 | $51.29 | $75.86 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $194.98 Typical High $676.08 | Professional | TC · Technical part | $131.83 | $194.98 | $676.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $398.11 Median $524.81 Typical High $933.25 | Facility | None | $398.11 | $524.81 | $933.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $190.55 Median $398.11 Typical High $537.03 | Professional | None (both parts) | $190.55 | $398.11 | $537.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $91.20 Typical High $123.03 | Professional | 26 · Professional part | $60.26 | $91.20 | $123.03 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $288.40 Median $602.56 Typical High $812.83 | Professional | 50 · Both sides | $288.40 | $602.56 | $812.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $309.03 Typical High $416.87 | Professional | TC · Technical part | $131.83 | $309.03 | $416.87 |
CareSource Setting Facility Modifier None Typical Low $66.07 Median $134.90 Typical High $199.53 | Facility | None | $66.07 | $134.90 | $199.53 |
CareSource Setting Professional Modifier None (both parts) Typical Low $60.26 Median $128.82 Typical High $234.42 | Professional | None (both parts) | $60.26 | $128.82 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $933.25 Typical High $933.25 | Facility | None | $346.74 | $933.25 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $489.78 Typical High $831.76 | Professional | None (both parts) | $204.17 | $489.78 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $75.86 Typical High $147.91 | Professional | 26 · Professional part | $61.66 | $75.86 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $416.87 Typical High $602.56 | Professional | TC · Technical part | $138.04 | $416.87 | $602.56 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $489.78 Median $630.96 Typical High $2,089.30 | Facility | None | $489.78 | $630.96 | $2,089.30 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $223.87 Median $288.40 Typical High $416.87 | Professional | None (both parts) | $223.87 | $288.40 | $416.87 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $89.13 Typical High $120.23 | Professional | 26 · Professional part | $72.44 | $89.13 | $120.23 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $199.53 Typical High $281.84 | Professional | TC · Technical part | $158.49 | $199.53 | $281.84 |
United Setting Professional Modifier None (both parts) Typical Low $208.93 Median $331.13 Typical High $645.65 | Professional | None (both parts) | $208.93 | $331.13 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $72.44 Typical High $154.88 | Professional | 26 · Professional part | $58.88 | $72.44 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $223.87 Typical High $489.78 | Professional | TC · Technical part | $144.54 | $223.87 | $489.78 |
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 $104.71 Median $104.71 Typical High $186.21 | Professional | 52 · Reduced service | $104.71 | $104.71 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $74.13 | Professional | 53 · Discontinued | $41.69 | $41.69 | $74.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $158.49 Median $177.83 Typical High $302.00 | Professional | FX · Film X-ray | $158.49 | $177.83 | $302.00 |
Where Indiana sits
The same service costs 7.1 times more in Vermont 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· 28th of 51
$363
VT $955UT $135
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.