How much rates vary
Facilitymedian $200 · 10th to 90th $89 to $912Professionalmedian $89 · 10th to 90th $68 to $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 $89.13 Median $123.03 Typical High $407.38 | Facility | None | $89.13 | $123.03 | $407.38 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $26.92 Median $37.15 Typical High $45.71 | Facility | 26 · Professional part | $26.92 | $37.15 | $45.71 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $63.10 Median $85.11 Typical High $117.49 | Facility | TC · Technical part | $63.10 | $85.11 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $89.13 Typical High $131.83 | Professional | None (both parts) | $81.28 | $89.13 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $26.92 Typical High $38.90 | Professional | 26 · Professional part | $23.99 | $26.92 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $63.10 Typical High $89.13 | Professional | TC · Technical part | $56.23 | $63.10 | $89.13 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $83.18 Median $87.10 Typical High $128.82 | Professional | None (both parts) | $83.18 | $87.10 | $128.82 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $21.38 Typical High $39.81 | Professional | 26 · Professional part | $18.20 | $21.38 | $39.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $74.13 Median $199.53 Typical High $630.96 | Facility | None | $74.13 | $199.53 | $630.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $64.57 Median $77.62 Typical High $109.65 | Professional | None (both parts) | $64.57 | $77.62 | $109.65 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.20 Typical High $42.66 | Professional | 26 · Professional part | $23.99 | $30.20 | $42.66 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $46.77 Typical High $72.44 | Professional | TC · Technical part | $39.81 | $46.77 | $72.44 |
CareSource Setting Facility Modifier None Typical Low $29.51 Median $63.10 Typical High $93.33 | Facility | None | $29.51 | $63.10 | $93.33 |
CareSource Setting Professional Modifier None (both parts) Typical Low $26.30 Median $60.26 Typical High $109.65 | Professional | None (both parts) | $26.30 | $60.26 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $199.53 Typical High $1,023.29 | Facility | None | $165.96 | $199.53 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $95.50 Typical High $173.78 | Professional | None (both parts) | $75.86 | $95.50 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $28.84 Typical High $53.70 | Professional | 26 · Professional part | $24.55 | $28.84 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $61.66 Typical High $131.83 | Professional | TC · Technical part | $51.29 | $61.66 | $131.83 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $269.15 Median $912.01 Typical High $2,137.96 | Facility | None | $269.15 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $91.20 Median $117.49 Typical High $169.82 | Professional | None (both parts) | $91.20 | $117.49 | $169.82 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $35.48 Typical High $52.48 | Professional | 26 · Professional part | $28.18 | $35.48 | $52.48 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $83.18 Typical High $125.89 | Professional | TC · Technical part | $64.57 | $83.18 | $125.89 |
United Setting Professional Modifier None (both parts) Typical Low $77.62 Median $97.72 Typical High $177.83 | Professional | None (both parts) | $77.62 | $97.72 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $30.20 Typical High $53.70 | Professional | 26 · Professional part | $22.91 | $30.20 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $67.61 Typical High $128.82 | Professional | TC · Technical part | $53.70 | $67.61 | $128.82 |
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 $40.74 Median $44.67 Typical High $47.86 | Professional | 52 · Reduced service | $40.74 | $44.67 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $17.78 Typical High $19.05 | Professional | 53 · Discontinued | $16.22 | $17.78 | $19.05 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $60.26 Median $72.44 Typical High $75.86 | Professional | FX · Film X-ray | $60.26 | $72.44 | $75.86 |
Where Indiana sits
The same service costs 3.8 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· 44th of 51
$89.13
AK $282UT $74.13
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.