How much rates vary
Facilitymedian $89 · 10th to 90th $27 to $355Professionalmedian $28 · 10th to 90th $22 to $45
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 $25.70 Median $35.48 Typical High $186.21 | Facility | None | $25.70 | $35.48 | $186.21 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.08 Median $9.12 Typical High $11.22 | Facility | 26 · Professional part | $7.08 | $9.12 | $11.22 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $18.62 Median $23.99 Typical High $33.11 | Facility | TC · Technical part | $18.62 | $23.99 | $33.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $26.30 Typical High $42.66 | Professional | None (both parts) | $23.99 | $26.30 | $42.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $7.08 Typical High $11.22 | Professional | 26 · Professional part | $6.46 | $7.08 | $11.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $19.50 Typical High $29.51 | Professional | TC · Technical part | $16.98 | $19.50 | $29.51 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $19.50 Median $22.91 Typical High $33.88 | Professional | None (both parts) | $19.50 | $22.91 | $33.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $7.41 Typical High $10.96 | Professional | 26 · Professional part | $5.89 | $7.41 | $10.96 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $32.36 Median $32.36 Typical High $51.29 | Professional | 50 · Both sides | $32.36 | $32.36 | $51.29 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $24.55 Typical High $30.90 | Professional | TC · Technical part | $22.91 | $24.55 | $30.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $28.18 Median $186.21 Typical High $269.15 | Facility | None | $28.18 | $186.21 | $269.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $23.99 Median $28.18 Typical High $39.81 | Professional | None (both parts) | $23.99 | $28.18 | $39.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $10.96 Typical High $14.79 | Professional | 26 · Professional part | $7.41 | $10.96 | $14.79 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $35.48 Median $41.69 Typical High $60.26 | Professional | 50 · Both sides | $35.48 | $41.69 | $60.26 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $17.38 Typical High $27.54 | Professional | TC · Technical part | $14.45 | $17.38 | $27.54 |
CareSource Setting Facility Modifier None Typical Low $7.59 Median $19.95 Typical High $27.54 | Facility | None | $7.59 | $19.95 | $27.54 |
CareSource Setting Professional Modifier None (both parts) Typical Low $6.92 Median $19.05 Typical High $31.62 | Professional | None (both parts) | $6.92 | $19.05 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $199.53 Typical High $251.19 | Facility | None | $51.29 | $199.53 | $251.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $31.62 Typical High $54.95 | Professional | None (both parts) | $25.70 | $31.62 | $54.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $9.12 Typical High $13.80 | Professional | 26 · Professional part | $7.08 | $9.12 | $13.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $21.88 Typical High $39.81 | Professional | TC · Technical part | $17.78 | $21.88 | $39.81 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $81.28 Median $912.01 Typical High $2,137.96 | Facility | None | $81.28 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $28.18 Median $34.67 Typical High $51.29 | Professional | None (both parts) | $28.18 | $34.67 | $51.29 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $9.33 Typical High $14.13 | Professional | 26 · Professional part | $7.76 | $9.33 | $14.13 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $25.70 Typical High $38.90 | Professional | TC · Technical part | $20.89 | $25.70 | $38.90 |
United Setting Professional Modifier None (both parts) Typical Low $23.44 Median $28.84 Typical High $51.29 | Professional | None (both parts) | $23.44 | $28.84 | $51.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $8.32 Typical High $13.80 | Professional | 26 · Professional part | $6.76 | $8.32 | $13.80 |
United Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $20.42 Typical High $36.31 | Professional | TC · Technical part | $16.60 | $20.42 | $36.31 |
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 $11.75 Median $12.59 Typical High $13.80 | Professional | 52 · Reduced service | $11.75 | $12.59 | $13.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $5.13 Typical High $5.50 | Professional | 53 · Discontinued | $4.68 | $5.13 | $5.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $17.78 Median $21.38 Typical High $21.88 | Professional | FX · Film X-ray | $17.78 | $21.38 | $21.88 |
Where Indiana sits
The same service costs 3.7 times more in Alaska 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· 44th of 51
$28.18
AK $83.18FL $22.39
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.