How much rates vary
Facilitymedian $912 · 10th to 90th $417 to $1,445Professionalmedian $407 · 10th to 90th $263 to $692
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 $416.87 Median $891.25 Typical High $1,949.84 | Facility | None | $416.87 | $891.25 | $1,949.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $281.84 Typical High $512.86 | Professional | None (both parts) | $269.15 | $281.84 | $512.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $79.43 Typical High $117.49 | Professional | 26 · Professional part | $77.62 | $79.43 | $117.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $316.23 | Professional | TC · Technical part | $190.55 | $190.55 | $316.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $407.38 Median $933.25 Typical High $933.25 | Facility | None | $407.38 | $933.25 | $933.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $245.47 Median $407.38 Typical High $549.54 | Professional | None (both parts) | $245.47 | $407.38 | $549.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $74.13 Typical High $107.15 | Professional | 26 · Professional part | $63.10 | $74.13 | $107.15 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $363.08 Median $616.60 Typical High $831.76 | Professional | 50 · Both sides | $363.08 | $616.60 | $831.76 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $338.84 Typical High $478.63 | Professional | TC · Technical part | $173.78 | $338.84 | $478.63 |
CareSource Setting Facility Modifier None Typical Low $79.43 Median $177.83 Typical High $257.04 | Facility | None | $79.43 | $177.83 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $933.25 Typical High $933.25 | Facility | None | $467.74 | $933.25 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $588.84 Typical High $933.25 | Professional | None (both parts) | $269.15 | $588.84 | $933.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $91.20 Typical High $173.78 | Professional | 26 · Professional part | $72.44 | $91.20 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $467.74 Typical High $707.95 | Professional | TC · Technical part | $186.21 | $467.74 | $707.95 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $741.31 Median $912.01 Typical High $2,137.96 | Facility | None | $741.31 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $288.40 Median $380.19 Typical High $537.03 | Professional | None (both parts) | $288.40 | $380.19 | $537.03 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $107.15 Typical High $144.54 | Professional | 26 · Professional part | $85.11 | $107.15 | $144.54 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $269.15 Typical High $389.05 | Professional | TC · Technical part | $208.93 | $269.15 | $389.05 |
United Setting Professional Modifier None (both parts) Typical Low $281.84 Median $457.09 Typical High $794.33 | Professional | None (both parts) | $281.84 | $457.09 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $87.10 Typical High $181.97 | Professional | 26 · Professional part | $70.79 | $87.10 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $331.13 Typical High $630.96 | Professional | TC · Technical part | $204.17 | $331.13 | $630.96 |
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 $134.90 Median $134.90 Typical High $199.53 | Professional | 52 · Reduced service | $134.90 | $134.90 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $53.70 Typical High $79.43 | Professional | 53 · Discontinued | $53.70 | $53.70 | $79.43 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $204.17 Median $229.09 Typical High $338.84 | Professional | FX · Film X-ray | $204.17 | $229.09 | $338.84 |
Where Indiana sits
The same service costs 5.5 times more in Wyoming 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· 35th of 51
$407
WY $1,047UT $191
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.