How much rates vary
Facilitymedian $871 · 10th to 90th $389 to $1,202Professionalmedian $525 · 10th to 90th $316 to $1,148
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 $346.74 Median $512.86 Typical High $1,445.44 | Facility | None | $346.74 | $512.86 | $1,445.44 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $107.15 Median $128.82 Typical High $165.96 | Facility | 26 · Professional part | $107.15 | $128.82 | $165.96 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $234.42 Median $281.84 Typical High $416.87 | Facility | TC · Technical part | $234.42 | $281.84 | $416.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $371.54 Typical High $602.56 | Professional | None (both parts) | $346.74 | $371.54 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $109.65 Typical High $169.82 | Professional | 26 · Professional part | $104.71 | $109.65 | $169.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $263.03 Typical High $407.38 | Professional | TC · Technical part | $239.88 | $263.03 | $407.38 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $251.19 Median $269.15 Typical High $467.74 | Professional | None (both parts) | $251.19 | $269.15 | $467.74 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $97.72 Typical High $144.54 | Professional | 26 · Professional part | $77.62 | $97.72 | $144.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $549.54 Median $870.96 Typical High $977.24 | Facility | None | $549.54 | $870.96 | $977.24 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $316.23 Median $549.54 Typical High $741.31 | Professional | None (both parts) | $316.23 | $549.54 | $741.31 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $109.65 Typical High $154.88 | Professional | 26 · Professional part | $93.33 | $109.65 | $154.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $446.68 Typical High $616.60 | Professional | TC · Technical part | $218.78 | $446.68 | $616.60 |
CareSource Setting Facility Modifier None Typical Low $107.15 Median $223.87 Typical High $331.13 | Facility | None | $107.15 | $223.87 | $331.13 |
CareSource Setting Professional Modifier None (both parts) Typical Low $97.72 Median $213.80 Typical High $389.05 | Professional | None (both parts) | $97.72 | $213.80 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $933.25 Typical High $933.25 | Facility | None | $588.84 | $933.25 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $812.83 Typical High $1,380.38 | Professional | None (both parts) | $346.74 | $812.83 | $1,380.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $125.89 Typical High $234.42 | Professional | 26 · Professional part | $97.72 | $125.89 | $234.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $645.65 Typical High $1,096.48 | Professional | TC · Technical part | $234.42 | $645.65 | $1,096.48 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $794.33 Median $954.99 Typical High $2,089.30 | Facility | None | $794.33 | $954.99 | $2,089.30 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $371.54 Median $489.78 Typical High $691.83 | Professional | None (both parts) | $371.54 | $489.78 | $691.83 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $144.54 Typical High $194.98 | Professional | 26 · Professional part | $117.49 | $144.54 | $194.98 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $338.84 Typical High $478.63 | Professional | TC · Technical part | $263.03 | $338.84 | $478.63 |
United Setting Professional Modifier None (both parts) Typical Low $354.81 Median $588.84 Typical High $1,202.26 | Professional | None (both parts) | $354.81 | $588.84 | $1,202.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $117.49 Typical High $245.47 | Professional | 26 · Professional part | $95.50 | $117.49 | $245.47 |
United Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $416.87 Typical High $933.25 | Professional | TC · Technical part | $257.04 | $416.87 | $933.25 |
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 $173.78 Median $173.78 Typical High $251.19 | Professional | 52 · Reduced service | $173.78 | $173.78 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $100.00 | Professional | 53 · Discontinued | $69.18 | $69.18 | $100.00 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $263.03 Median $302.00 Typical High $371.54 | Professional | FX · Film X-ray | $263.03 | $302.00 | $371.54 |
Where Indiana sits
The same service costs 5.8 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· 29th of 51
$550
WY $1,349UT $234
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.