How much rates vary
Facilitymedian $955 · 10th to 90th $79 to $1,995Professionalmedian $98 · 10th to 90th $69 to $537
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 $446.68 Median $1,122.02 Typical High $1,584.89 | Facility | None | $446.68 | $1,122.02 | $1,584.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $446.68 Typical High $489.78 | Professional | None (both parts) | $407.38 | $446.68 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $20.42 Typical High $21.38 | Professional | 26 · Professional part | $19.05 | $20.42 | $21.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $436.52 Typical High $489.78 | Professional | TC · Technical part | $416.87 | $436.52 | $489.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $83.18 Median $1,202.26 Typical High $1,949.84 | Facility | None | $83.18 | $1,202.26 | $1,949.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $69.18 Median $81.28 Typical High $457.09 | Professional | None (both parts) | $69.18 | $81.28 | $457.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $29.51 Typical High $40.74 | Professional | 26 · Professional part | $20.89 | $29.51 | $40.74 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $52.48 Typical High $457.09 | Professional | TC · Technical part | $44.67 | $52.48 | $457.09 |
CareSource Setting Facility Modifier None Typical Low $22.39 Median $30.90 Typical High $53.70 | Facility | None | $22.39 | $30.90 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $100.00 Typical High $1,995.26 | Facility | None | $56.23 | $100.00 | $1,995.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $79.43 Typical High $120.23 | Professional | None (both parts) | $50.12 | $79.43 | $120.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $26.92 Typical High $40.74 | Professional | 26 · Professional part | $20.89 | $26.92 | $40.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $52.48 Typical High $72.44 | Professional | TC · Technical part | $30.20 | $52.48 | $72.44 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $204.17 Median $912.01 Typical High $2,137.96 | Facility | None | $204.17 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $67.61 Median $93.33 Typical High $120.23 | Professional | None (both parts) | $67.61 | $93.33 | $120.23 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $27.54 Typical High $40.74 | Professional | 26 · Professional part | $22.91 | $27.54 | $40.74 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $63.10 Typical High $83.18 | Professional | TC · Technical part | $52.48 | $63.10 | $83.18 |
United Setting Professional Modifier None (both parts) Typical Low $72.44 Median $478.63 Typical High $912.01 | Professional | None (both parts) | $72.44 | $478.63 | $912.01 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $25.12 Typical High $41.69 | Professional | 26 · Professional part | $20.42 | $25.12 | $41.69 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $457.09 Typical High $891.25 | Professional | TC · Technical part | $48.98 | $457.09 | $891.25 |
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 $204.17 Median $223.87 Typical High $245.47 | Professional | 52 · Reduced service | $204.17 | $223.87 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $89.13 Typical High $97.72 | Professional | 53 · Discontinued | $81.28 | $89.13 | $97.72 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $331.13 Median $380.19 Typical High $398.11 | Professional | FX · Film X-ray | $331.13 | $380.19 | $398.11 |
Where Indiana sits
The same service costs 11.2 times more in Colorado than in Michigan. 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· 41st of 51
$100
CO $661MI $58.88
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.