How much rates vary
Facilitymedian $891 · 10th to 90th $525 to $1,445Professionalmedian $417 · 10th to 90th $302 to $741
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 $457.09 Median $891.25 Typical High $1,949.84 | Facility | None | $457.09 | $891.25 | $1,949.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $338.84 Typical High $524.81 | Professional | None (both parts) | $309.03 | $338.84 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $85.11 Typical High $128.82 | Professional | 26 · Professional part | $83.18 | $85.11 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $229.09 Typical High $338.84 | Professional | TC · Technical part | $223.87 | $229.09 | $338.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | 26 · Professional part | $75.86 | $75.86 | $75.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $467.74 Median $870.96 Typical High $933.25 | Facility | None | $467.74 | $870.96 | $933.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $281.84 Median $416.87 Typical High $562.34 | Professional | None (both parts) | $281.84 | $416.87 | $562.34 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $83.18 Typical High $120.23 | Professional | 26 · Professional part | $70.79 | $83.18 | $120.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $338.84 Typical High $478.63 | Professional | TC · Technical part | $204.17 | $338.84 | $478.63 |
CareSource Setting Facility Modifier None Typical Low $83.18 Median $213.80 Typical High $295.12 | Facility | None | $83.18 | $213.80 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $933.25 Typical High $933.25 | Facility | None | $549.54 | $933.25 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $616.60 Typical High $1,000.00 | Professional | None (both parts) | $309.03 | $616.60 | $1,000.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $97.72 Typical High $186.21 | Professional | 26 · Professional part | $77.62 | $97.72 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $524.81 Typical High $724.44 | Professional | TC · Technical part | $223.87 | $524.81 | $724.44 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $794.33 Median $912.01 Typical High $2,089.30 | Facility | None | $794.33 | $912.01 | $2,089.30 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $331.13 Median $436.52 Typical High $616.60 | Professional | None (both parts) | $331.13 | $436.52 | $616.60 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $112.20 Typical High $154.88 | Professional | 26 · Professional part | $91.20 | $112.20 | $154.88 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $316.23 Typical High $457.09 | Professional | TC · Technical part | $245.47 | $316.23 | $457.09 |
United Setting Professional Modifier None (both parts) Typical Low $323.59 Median $501.19 Typical High $891.25 | Professional | None (both parts) | $323.59 | $501.19 | $891.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $93.33 Typical High $194.98 | Professional | 26 · Professional part | $74.13 | $93.33 | $194.98 |
United Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $380.19 Typical High $707.95 | Professional | TC · Technical part | $239.88 | $380.19 | $707.95 |
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 $154.88 Median $154.88 Typical High $223.87 | Professional | 52 · Reduced service | $154.88 | $154.88 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $89.13 | Professional | 53 · Discontinued | $61.66 | $61.66 | $89.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $234.42 Median $269.15 Typical High $338.84 | Professional | FX · Film X-ray | $234.42 | $269.15 | $338.84 |
Where Indiana sits
The same service costs 5.6 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· 39th of 51
$417
WY $1,230UT $219
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.