How much rates vary
Facilitymedian $417 · 10th to 90th $123 to $1,862Professionalmedian $123 · 10th to 90th $105 to $200
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $114.82 Median $851.14 Typical High $1,096.48 | Facility | None | $114.82 | $851.14 | $1,096.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $114.82 Typical High $125.89 | Professional | None (both parts) | $97.72 | $114.82 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $27.54 Typical High $29.51 | Professional | 26 · Professional part | $25.12 | $27.54 | $29.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $87.10 Typical High $102.33 | Professional | TC · Technical part | $72.44 | $87.10 | $102.33 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None (both parts) | $66.07 | $66.07 | $66.07 |
Anthem BCBS Setting Facility Modifier None Typical Low $123.03 Median $416.87 Typical High $1,412.54 | Facility | None | $123.03 | $416.87 | $1,412.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $104.71 Median $123.03 Typical High $173.78 | Professional | None (both parts) | $104.71 | $123.03 | $173.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $35.48 Typical High $47.86 | Professional | 26 · Professional part | $28.18 | $35.48 | $47.86 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $154.88 Median $186.21 Typical High $263.03 | Professional | 50 · Both sides | $154.88 | $186.21 | $263.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $89.13 Typical High $131.83 | Professional | TC · Technical part | $75.86 | $89.13 | $131.83 |
CareSource Setting Facility Modifier None Typical Low $30.90 Median $72.44 Typical High $104.71 | Facility | None | $30.90 | $72.44 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $239.88 Typical High $1,862.09 | Facility | None | $194.98 | $239.88 | $1,862.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $147.91 Typical High $229.09 | Professional | None (both parts) | $107.15 | $147.91 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $30.90 Typical High $54.95 | Professional | 26 · Professional part | $28.84 | $30.90 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $112.20 Typical High $165.96 | Professional | TC · Technical part | $75.86 | $112.20 | $165.96 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $316.23 Median $912.01 Typical High $2,137.96 | Facility | None | $316.23 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $112.20 Median $134.90 Typical High $208.93 | Professional | None (both parts) | $112.20 | $134.90 | $208.93 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $37.15 Typical High $56.23 | Professional | 26 · Professional part | $31.62 | $37.15 | $56.23 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $100.00 Typical High $151.36 | Professional | TC · Technical part | $81.28 | $100.00 | $151.36 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $138.04 Typical High $234.42 | Professional | None (both parts) | $109.65 | $138.04 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.20 Typical High $53.70 | Professional | 26 · Professional part | $25.70 | $30.20 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $107.15 Typical High $186.21 | Professional | TC · Technical part | $81.28 | $107.15 | $186.21 |
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 $48.98 Median $57.54 Typical High $63.10 | Professional | 52 · Reduced service | $48.98 | $57.54 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $22.91 Typical High $25.12 | Professional | 53 · Discontinued | $19.95 | $22.91 | $25.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $97.72 Typical High $100.00 | Professional | FX · Film X-ray | $72.44 | $97.72 | $100.00 |
Where Indiana sits
The same service costs 3.5 times more in Alaska than in Texas. 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· 41st of 51
$123
AK $355TX $100
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.