How much rates vary
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 $208.93 Median $645.65 Typical High $2,041.74 | Facility | None | $208.93 | $645.65 | $2,041.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $199.53 Typical High $354.81 | Professional | None (both parts) | $194.98 | $199.53 | $354.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $58.88 Typical High $74.13 | Professional | 26 · Professional part | $56.23 | $58.88 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $141.25 Typical High $229.09 | Professional | TC · Technical part | $138.04 | $141.25 | $229.09 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $53.70 | Professional | 26 · Professional part | $43.65 | $43.65 | $53.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $338.84 Median $416.87 Typical High $724.44 | Facility | None | $338.84 | $416.87 | $724.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $181.97 Median $338.84 Typical High $457.09 | Professional | None (both parts) | $181.97 | $338.84 | $457.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $79.43 Typical High $107.15 | Professional | 26 · Professional part | $53.70 | $79.43 | $107.15 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $275.42 Median $512.86 Typical High $691.83 | Professional | 50 · Both sides | $275.42 | $512.86 | $691.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $263.03 Typical High $354.81 | Professional | TC · Technical part | $128.82 | $263.03 | $354.81 |
CareSource Setting Facility Modifier None Typical Low $58.88 Median $131.83 Typical High $190.55 | Facility | None | $58.88 | $131.83 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $457.09 Typical High $724.44 | Facility | None | $218.78 | $457.09 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $380.19 Typical High $588.84 | Professional | None (both parts) | $190.55 | $380.19 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $69.18 Typical High $128.82 | Professional | 26 · Professional part | $54.95 | $69.18 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $316.23 Typical High $446.68 | Professional | TC · Technical part | $134.90 | $316.23 | $446.68 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $380.19 Median $602.56 Typical High $2,089.30 | Facility | None | $380.19 | $602.56 | $2,089.30 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $213.80 Median $281.84 Typical High $398.11 | Professional | None (both parts) | $213.80 | $281.84 | $398.11 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $81.28 Typical High $109.65 | Professional | 26 · Professional part | $63.10 | $81.28 | $109.65 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $199.53 Typical High $281.84 | Professional | TC · Technical part | $154.88 | $199.53 | $281.84 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $323.59 Typical High $549.54 | Professional | None (both parts) | $213.80 | $323.59 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $64.57 Typical High $123.03 | Professional | 26 · Professional part | $52.48 | $64.57 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $239.88 Typical High $426.58 | Professional | TC · Technical part | $154.88 | $239.88 | $426.58 |
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 $97.72 Median $100.00 Typical High $138.04 | Professional | 52 · Reduced service | $97.72 | $100.00 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $39.81 Typical High $54.95 | Professional | 53 · Discontinued | $38.90 | $39.81 | $54.95 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $154.88 Median $181.97 Typical High $229.09 | Professional | CT · Older CT scanner | $154.88 | $181.97 | $229.09 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $147.91 Median $169.82 Typical High $213.80 | Professional | FX · Film X-ray | $147.91 | $169.82 | $213.80 |
Where Indiana sits
The same service costs 5.1 times more in Alaska 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
$339
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.