How much rates vary
Facilitymedian $479 · 10th to 90th $112 to $1,862Professionalmedian $117 · 10th to 90th $89 to $186
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 $117.49 Median $851.14 Typical High $1,096.48 | Facility | None | $117.49 | $851.14 | $1,096.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $117.49 Typical High $125.89 | Professional | None (both parts) | $104.71 | $117.49 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $25.12 Typical High $26.92 | Professional | 26 · Professional part | $23.44 | $25.12 | $26.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $91.20 Typical High $97.72 | Professional | TC · Technical part | $79.43 | $91.20 | $97.72 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None (both parts) | $89.13 | $89.13 | $89.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $107.15 Median $478.63 Typical High $1,412.54 | Facility | None | $107.15 | $478.63 | $1,412.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $89.13 Median $107.15 Typical High $154.88 | Professional | None (both parts) | $89.13 | $107.15 | $154.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $35.48 Typical High $47.86 | Professional | 26 · Professional part | $26.92 | $35.48 | $47.86 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $134.90 Median $158.49 Typical High $239.88 | Professional | 50 · Both sides | $134.90 | $158.49 | $239.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $70.79 Typical High $107.15 | Professional | TC · Technical part | $60.26 | $70.79 | $107.15 |
CareSource Setting Facility Modifier None Typical Low $27.54 Median $91.20 Typical High $120.23 | Facility | None | $27.54 | $91.20 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $302.00 Typical High $1,862.09 | Facility | None | $239.88 | $302.00 | $1,862.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $134.90 Typical High $213.80 | Professional | None (both parts) | $100.00 | $134.90 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $31.62 Typical High $48.98 | Professional | 26 · Professional part | $25.70 | $31.62 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $95.50 Typical High $154.88 | Professional | TC · Technical part | $69.18 | $95.50 | $154.88 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $363.08 Median $912.01 Typical High $2,137.96 | Facility | None | $363.08 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $131.83 Median $154.88 Typical High $234.42 | Professional | None (both parts) | $131.83 | $154.88 | $234.42 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $34.67 Typical High $51.29 | Professional | 26 · Professional part | $28.18 | $34.67 | $51.29 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $123.03 Typical High $186.21 | Professional | TC · Technical part | $102.33 | $123.03 | $186.21 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $128.82 Typical High $229.09 | Professional | None (both parts) | $97.72 | $128.82 | $229.09 |
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 $70.79 Median $100.00 Typical High $173.78 | Professional | TC · Technical part | $70.79 | $100.00 | $173.78 |
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 $52.48 Median $58.88 Typical High $61.66 | Professional | 52 · Reduced service | $52.48 | $58.88 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $23.44 Typical High $24.55 | Professional | 53 · Discontinued | $20.89 | $23.44 | $24.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $95.50 Typical High $100.00 | Professional | FX · Film X-ray | $77.62 | $95.50 | $100.00 |
Where Indiana sits
The same service costs 3.9 times more in Alaska than in New York. 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· 46th of 51
$117
AK $380NY $97.72
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.