How much rates vary
Facilitymedian $100 · 10th to 90th $31 to $309Professionalmedian $33 · 10th to 90th $25 to $54
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 $30.90 Median $41.69 Typical High $186.21 | Facility | None | $30.90 | $41.69 | $186.21 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.41 Median $9.33 Typical High $12.88 | Facility | 26 · Professional part | $7.41 | $9.33 | $12.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $23.44 Median $30.20 Typical High $41.69 | Facility | TC · Technical part | $23.44 | $30.20 | $41.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $31.62 Typical High $50.12 | Professional | None (both parts) | $28.18 | $31.62 | $50.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.76 Typical High $12.30 | Professional | 26 · Professional part | $7.08 | $7.76 | $12.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $23.99 Typical High $37.15 | Professional | TC · Technical part | $20.89 | $23.99 | $37.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $21.88 Median $26.92 Typical High $40.74 | Professional | None (both parts) | $21.88 | $26.92 | $40.74 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $7.59 Typical High $11.48 | Professional | 26 · Professional part | $6.17 | $7.59 | $11.48 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $57.54 Median $57.54 Typical High $72.44 | Professional | 50 · Both sides | $57.54 | $57.54 | $72.44 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $29.51 Typical High $43.65 | Professional | TC · Technical part | $21.88 | $29.51 | $43.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $29.51 Median $186.21 Typical High $269.15 | Facility | None | $29.51 | $186.21 | $269.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $25.12 Median $39.81 Typical High $51.29 | Professional | None (both parts) | $25.12 | $39.81 | $51.29 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $11.48 Typical High $15.49 | Professional | 26 · Professional part | $7.59 | $11.48 | $15.49 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $38.90 Median $60.26 Typical High $79.43 | Professional | 50 · Both sides | $38.90 | $60.26 | $79.43 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $26.92 Typical High $42.66 | Professional | TC · Technical part | $17.38 | $26.92 | $42.66 |
CareSource Setting Facility Modifier None Typical Low $8.32 Median $24.55 Typical High $32.36 | Facility | None | $8.32 | $24.55 | $32.36 |
CareSource Setting Professional Modifier None (both parts) Typical Low $7.41 Median $23.44 Typical High $38.02 | Professional | None (both parts) | $7.41 | $23.44 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $199.53 Typical High $251.19 | Facility | None | $63.10 | $199.53 | $251.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $34.67 Typical High $64.57 | Professional | None (both parts) | $28.84 | $34.67 | $64.57 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $10.23 Typical High $14.79 | Professional | 26 · Professional part | $7.59 | $10.23 | $14.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $23.99 Typical High $50.12 | Professional | TC · Technical part | $19.50 | $23.99 | $50.12 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $95.50 Median $912.01 Typical High $2,137.96 | Facility | None | $95.50 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $33.88 Median $41.69 Typical High $63.10 | Professional | None (both parts) | $33.88 | $41.69 | $63.10 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.23 Typical High $15.49 | Professional | 26 · Professional part | $8.32 | $10.23 | $15.49 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $31.62 Typical High $47.86 | Professional | TC · Technical part | $25.70 | $31.62 | $47.86 |
United Setting Professional Modifier None (both parts) Typical Low $26.92 Median $33.88 Typical High $61.66 | Professional | None (both parts) | $26.92 | $33.88 | $61.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $9.55 Typical High $15.49 | Professional | 26 · Professional part | $7.41 | $9.55 | $15.49 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $25.12 Typical High $45.71 | Professional | TC · Technical part | $19.05 | $25.12 | $45.71 |
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 $14.13 Median $15.49 Typical High $16.60 | Professional | 52 · Reduced service | $14.13 | $15.49 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $6.17 Typical High $6.61 | Professional | 53 · Discontinued | $5.62 | $6.17 | $6.61 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $21.38 Median $25.70 Typical High $26.30 | Professional | FX · Film X-ray | $21.38 | $25.70 | $26.30 |
Where Indiana sits
The same service costs 12.9 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· 39th of 51
$33.88
VT $347FL $26.92
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.