How much rates vary
Facilitymedian $200 · 10th to 90th $112 to $912Professionalmedian $110 · 10th to 90th $85 to $186
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 $112.20 Median $158.49 Typical High $407.38 | Facility | None | $112.20 | $158.49 | $407.38 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $35.48 Median $47.86 Typical High $61.66 | Facility | 26 · Professional part | $35.48 | $47.86 | $61.66 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $75.86 Median $102.33 Typical High $147.91 | Facility | TC · Technical part | $75.86 | $102.33 | $147.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $112.20 Typical High $141.25 | Professional | None (both parts) | $102.33 | $112.20 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $35.48 Typical High $46.77 | Professional | 26 · Professional part | $32.36 | $35.48 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $77.62 Typical High $95.50 | Professional | TC · Technical part | $67.61 | $77.62 | $95.50 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None (both parts) | $109.65 | $109.65 | $109.65 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $36.31 Typical High $54.95 | Professional | 26 · Professional part | $28.84 | $36.31 | $54.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $87.10 Median $199.53 Typical High $630.96 | Facility | None | $87.10 | $199.53 | $630.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $85.11 Median $100.00 Typical High $144.54 | Professional | None (both parts) | $85.11 | $100.00 | $144.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $44.67 Typical High $64.57 | Professional | 26 · Professional part | $36.31 | $44.67 | $64.57 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $56.23 Typical High $87.10 | Professional | TC · Technical part | $46.77 | $56.23 | $87.10 |
CareSource Setting Facility Modifier None Typical Low $38.90 Median $77.62 Typical High $117.49 | Facility | None | $38.90 | $77.62 | $117.49 |
CareSource Setting Professional Modifier None (both parts) Typical Low $35.48 Median $74.13 Typical High $138.04 | Professional | None (both parts) | $35.48 | $74.13 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $199.53 Typical High $1,023.29 | Facility | None | $190.55 | $199.53 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $120.23 Typical High $223.87 | Professional | None (both parts) | $100.00 | $120.23 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $41.69 Typical High $70.79 | Professional | 26 · Professional part | $36.31 | $41.69 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $75.86 Typical High $158.49 | Professional | TC · Technical part | $63.10 | $75.86 | $158.49 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $346.74 Median $912.01 Typical High $2,137.96 | Facility | None | $346.74 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $117.49 Median $147.91 Typical High $218.78 | Professional | None (both parts) | $117.49 | $147.91 | $218.78 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $48.98 Typical High $70.79 | Professional | 26 · Professional part | $38.90 | $48.98 | $70.79 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $102.33 Typical High $154.88 | Professional | TC · Technical part | $83.18 | $102.33 | $154.88 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $123.03 Typical High $223.87 | Professional | None (both parts) | $97.72 | $123.03 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $41.69 Typical High $70.79 | Professional | 26 · Professional part | $33.11 | $41.69 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $81.28 Typical High $154.88 | Professional | TC · Technical part | $64.57 | $81.28 | $154.88 |
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 $51.29 Median $56.23 Typical High $58.88 | Professional | 52 · Reduced service | $51.29 | $56.23 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $22.39 Typical High $23.99 | Professional | 53 · Discontinued | $20.42 | $22.39 | $23.99 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $91.20 Typical High $95.50 | Professional | FX · Film X-ray | $75.86 | $91.20 | $95.50 |
Where Indiana sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 45th of 51
$112
AK $363FL $97.72
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.