How much rates vary
Facilitymedian $316 · 10th to 90th $151 to $1,288Professionalmedian $219 · 10th to 90th $123 to $339
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 $131.83 Median $208.93 Typical High $1,288.25 | Facility | None | $131.83 | $208.93 | $1,288.25 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $48.98 Median $58.88 Typical High $85.11 | Facility | 26 · Professional part | $48.98 | $58.88 | $85.11 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $85.11 Median $102.33 Typical High $147.91 | Facility | TC · Technical part | $85.11 | $102.33 | $147.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $141.25 Typical High $275.42 | Professional | None (both parts) | $128.82 | $141.25 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $48.98 Typical High $85.11 | Professional | 26 · Professional part | $47.86 | $48.98 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $91.20 Typical High $199.53 | Professional | TC · Technical part | $81.28 | $91.20 | $199.53 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $97.72 Median $123.03 Typical High $181.97 | Professional | None (both parts) | $97.72 | $123.03 | $181.97 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $42.66 Typical High $66.07 | Professional | 26 · Professional part | $35.48 | $42.66 | $66.07 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $100.00 Typical High $117.49 | Professional | TC · Technical part | $100.00 | $100.00 | $117.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $239.88 Median $263.03 Typical High $724.44 | Facility | None | $239.88 | $263.03 | $724.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $123.03 Median $239.88 Typical High $323.59 | Professional | None (both parts) | $123.03 | $239.88 | $323.59 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $70.79 Typical High $95.50 | Professional | 26 · Professional part | $44.67 | $70.79 | $95.50 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $181.97 Median $354.81 Typical High $478.63 | Professional | 50 · Both sides | $181.97 | $354.81 | $478.63 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $169.82 Typical High $239.88 | Professional | TC · Technical part | $77.62 | $169.82 | $239.88 |
CareSource Setting Facility Modifier None Typical Low $47.86 Median $79.43 Typical High $128.82 | Facility | None | $47.86 | $79.43 | $128.82 |
CareSource Setting Professional Modifier None (both parts) Typical Low $43.65 Median $75.86 Typical High $147.91 | Professional | None (both parts) | $43.65 | $75.86 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $724.44 Typical High $724.44 | Facility | None | $208.93 | $724.44 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $257.04 Typical High $416.87 | Professional | None (both parts) | $131.83 | $257.04 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $58.88 Typical High $107.15 | Professional | 26 · Professional part | $44.67 | $58.88 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $190.55 Typical High $281.84 | Professional | TC · Technical part | $81.28 | $190.55 | $281.84 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $234.42 Median $398.11 Typical High $2,089.30 | Facility | None | $234.42 | $398.11 | $2,089.30 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $144.54 Median $186.21 Typical High $269.15 | Professional | None (both parts) | $144.54 | $186.21 | $269.15 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $66.07 Typical High $91.20 | Professional | 26 · Professional part | $51.29 | $66.07 | $91.20 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $117.49 Typical High $169.82 | Professional | TC · Technical part | $93.33 | $117.49 | $169.82 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $213.80 Typical High $363.08 | Professional | None (both parts) | $141.25 | $213.80 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $54.95 Typical High $104.71 | Professional | 26 · Professional part | $43.65 | $54.95 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $144.54 Typical High $269.15 | Professional | TC · Technical part | $93.33 | $144.54 | $269.15 |
4 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 $64.57 Median $66.07 Typical High $83.18 | Professional | 52 · Reduced service | $64.57 | $66.07 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $33.88 | Professional | 53 · Discontinued | $26.30 | $26.30 | $33.88 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $104.71 Median $120.23 Typical High $141.25 | Professional | CT · Older CT scanner | $104.71 | $120.23 | $141.25 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $112.20 Typical High $134.90 | Professional | FX · Film X-ray | $97.72 | $112.20 | $134.90 |
Where Indiana sits
The same service costs 5.8 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· 25th of 51
$224
VT $603UT $105
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.