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 $389.05 Median $575.44 Typical High $1,288.25 | Facility | None | $389.05 | $575.44 | $1,288.25 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $104.71 Median $125.89 Typical High $162.18 | Facility | 26 · Professional part | $104.71 | $125.89 | $162.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $281.84 Median $338.84 Typical High $489.78 | Facility | TC · Technical part | $281.84 | $338.84 | $489.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $398.11 Typical High $645.65 | Professional | None (both parts) | $371.54 | $398.11 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $104.71 Typical High $162.18 | Professional | 26 · Professional part | $100.00 | $104.71 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $288.40 Typical High $446.68 | Professional | TC · Technical part | $275.42 | $288.40 | $446.68 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None (both parts) | $281.84 | $281.84 | $281.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $97.72 Typical High $144.54 | Professional | 26 · Professional part | $83.18 | $97.72 | $144.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $602.56 Median $724.44 Typical High $1,348.96 | Facility | None | $602.56 | $724.44 | $1,348.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $354.81 Median $602.56 Typical High $812.83 | Professional | None (both parts) | $354.81 | $602.56 | $812.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $102.33 Typical High $144.54 | Professional | 26 · Professional part | $87.10 | $102.33 | $144.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $489.78 Typical High $645.65 | Professional | TC · Technical part | $257.04 | $489.78 | $645.65 |
CareSource Setting Facility Modifier None Typical Low $107.15 Median $263.03 Typical High $371.54 | Facility | None | $107.15 | $263.03 | $371.54 |
CareSource Setting Professional Modifier None (both parts) Typical Low $97.72 Median $251.19 Typical High $436.52 | Professional | None (both parts) | $97.72 | $251.19 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $724.44 Typical High $870.96 | Facility | None | $691.83 | $724.44 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $616.60 Typical High $891.25 | Professional | None (both parts) | $371.54 | $616.60 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $123.03 Typical High $229.09 | Professional | 26 · Professional part | $97.72 | $123.03 | $229.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $489.78 Typical High $676.08 | Professional | TC · Technical part | $275.42 | $489.78 | $676.08 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $1,071.52 Typical High $2,137.96 | Facility | None | $912.01 | $1,071.52 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $416.87 Median $524.81 Typical High $724.44 | Professional | None (both parts) | $416.87 | $524.81 | $724.44 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $144.54 Typical High $194.98 | Professional | 26 · Professional part | $112.20 | $144.54 | $194.98 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $398.11 Typical High $537.03 | Professional | TC · Technical part | $309.03 | $398.11 | $537.03 |
United Setting Professional Modifier None (both parts) Typical Low $354.81 Median $524.81 Typical High $912.01 | Professional | None (both parts) | $354.81 | $524.81 | $912.01 |
United Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $117.49 Typical High $218.78 | Professional | 26 · Professional part | $95.50 | $117.49 | $218.78 |
United Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $389.05 Typical High $707.95 | Professional | TC · Technical part | $257.04 | $389.05 | $707.95 |
2 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 CT · Older CT scanner Typical Low $295.12 Median $338.84 Typical High $354.81 | Professional | CT · Older CT scanner | $295.12 | $338.84 | $354.81 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $281.84 Median $323.59 Typical High $331.13 | Professional | FX · Film X-ray | $281.84 | $323.59 | $331.13 |
Where Indiana sits
The same service costs 5.0 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· 27th of 51
$537
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.