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 $186.21 Median $257.04 Typical High $1,202.26 | Facility | None | $186.21 | $257.04 | $1,202.26 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $83.18 Median $100.00 Typical High $128.82 | Facility | 26 · Professional part | $83.18 | $100.00 | $128.82 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $104.71 Median $125.89 Typical High $181.97 | Facility | TC · Technical part | $104.71 | $125.89 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $199.53 Typical High $323.59 | Professional | None (both parts) | $186.21 | $199.53 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $85.11 Typical High $131.83 | Professional | 26 · Professional part | $79.43 | $85.11 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $112.20 Typical High $190.55 | Professional | TC · Technical part | $102.33 | $112.20 | $190.55 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $173.78 | Professional | None (both parts) | $138.04 | $138.04 | $173.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $75.86 Typical High $112.20 | Professional | 26 · Professional part | $61.66 | $75.86 | $112.20 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $81.28 Typical High $144.54 | Professional | TC · Technical part | $81.28 | $81.28 | $144.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $478.63 Median $524.81 Typical High $724.44 | Facility | None | $478.63 | $524.81 | $724.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $173.78 Median $478.63 Typical High $645.65 | Professional | None (both parts) | $173.78 | $478.63 | $645.65 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $147.91 Typical High $190.55 | Professional | 26 · Professional part | $77.62 | $147.91 | $190.55 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $338.84 Typical High $457.09 | Professional | TC · Technical part | $95.50 | $338.84 | $457.09 |
CareSource Setting Facility Modifier None Typical Low $85.11 Median $97.72 Typical High $181.97 | Facility | None | $85.11 | $97.72 | $181.97 |
CareSource Setting Professional Modifier None (both parts) Typical Low $75.86 Median $107.15 Typical High $213.80 | Professional | None (both parts) | $75.86 | $107.15 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $724.44 Typical High $724.44 | Facility | None | $257.04 | $724.44 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $257.04 Typical High $407.38 | Professional | None (both parts) | $181.97 | $257.04 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $100.00 Typical High $173.78 | Professional | 26 · Professional part | $75.86 | $100.00 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $151.36 Typical High $229.09 | Professional | TC · Technical part | $100.00 | $151.36 | $229.09 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $489.78 Median $562.34 Typical High $2,089.30 | Facility | None | $489.78 | $562.34 | $2,089.30 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $204.17 Median $263.03 Typical High $346.74 | Professional | None (both parts) | $204.17 | $263.03 | $346.74 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $114.82 Typical High $154.88 | Professional | 26 · Professional part | $91.20 | $114.82 | $154.88 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $147.91 Typical High $199.53 | Professional | TC · Technical part | $114.82 | $147.91 | $199.53 |
United Setting Professional Modifier None (both parts) Typical Low $177.83 Median $229.09 Typical High $407.38 | Professional | None (both parts) | $177.83 | $229.09 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $93.33 Typical High $177.83 | Professional | 26 · Professional part | $75.86 | $93.33 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $131.83 Typical High $234.42 | Professional | TC · Technical part | $100.00 | $131.83 | $234.42 |
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 $147.91 Median $169.82 Typical High $190.55 | Professional | CT · Older CT scanner | $147.91 | $169.82 | $190.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $141.25 Median $162.18 Typical High $181.97 | Professional | FX · Film X-ray | $141.25 | $162.18 | $181.97 |
Where Indiana sits
The same service costs 18.2 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· 21st of 51
$263
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.