How much rates vary
Facilitymedian $200 · 10th to 90th $129 to $912Professionalmedian $126 · 10th to 90th $93 to $209
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 $128.82 Median $173.78 Typical High $407.38 | Facility | None | $128.82 | $173.78 | $407.38 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $39.81 Median $53.70 Typical High $67.61 | Facility | 26 · Professional part | $39.81 | $53.70 | $67.61 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $87.10 Median $112.20 Typical High $162.18 | Facility | TC · Technical part | $87.10 | $112.20 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $128.82 Typical High $162.18 | Professional | None (both parts) | $114.82 | $128.82 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $39.81 Typical High $52.48 | Professional | 26 · Professional part | $35.48 | $39.81 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $89.13 Typical High $107.15 | Professional | TC · Technical part | $79.43 | $89.13 | $107.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $123.03 | Professional | None (both parts) | $89.13 | $89.13 | $123.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $60.26 | Professional | 26 · Professional part | $39.81 | $39.81 | $60.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $102.33 Median $199.53 Typical High $630.96 | Facility | None | $102.33 | $199.53 | $630.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $93.33 Median $109.65 Typical High $154.88 | Professional | None (both parts) | $93.33 | $109.65 | $154.88 |
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 $54.95 Median $64.57 Typical High $100.00 | Professional | TC · Technical part | $54.95 | $64.57 | $100.00 |
CareSource Setting Facility Modifier None Typical Low $43.65 Median $89.13 Typical High $131.83 | Facility | None | $43.65 | $89.13 | $131.83 |
CareSource Setting Professional Modifier None (both parts) Typical Low $39.81 Median $85.11 Typical High $154.88 | Professional | None (both parts) | $39.81 | $85.11 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $1,023.29 | Facility | None | $199.53 | $199.53 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $134.90 Typical High $251.19 | Professional | None (both parts) | $107.15 | $134.90 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $42.66 Typical High $79.43 | Professional | 26 · Professional part | $36.31 | $42.66 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $85.11 Typical High $186.21 | Professional | TC · Technical part | $70.79 | $85.11 | $186.21 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $380.19 Median $912.01 Typical High $2,137.96 | Facility | None | $380.19 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $131.83 Median $169.82 Typical High $245.47 | Professional | None (both parts) | $131.83 | $169.82 | $245.47 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $52.48 Typical High $77.62 | Professional | 26 · Professional part | $42.66 | $52.48 | $77.62 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $114.82 Typical High $177.83 | Professional | TC · Technical part | $91.20 | $114.82 | $177.83 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $141.25 Typical High $251.19 | Professional | None (both parts) | $109.65 | $141.25 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $45.71 Typical High $79.43 | Professional | 26 · Professional part | $33.88 | $45.71 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $95.50 Typical High $177.83 | Professional | TC · Technical part | $75.86 | $95.50 | $177.83 |
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 $57.54 Median $63.10 Typical High $67.61 | Professional | 52 · Reduced service | $57.54 | $63.10 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $25.70 Typical High $26.92 | Professional | 53 · Discontinued | $22.91 | $25.70 | $26.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $87.10 Median $102.33 Typical High $107.15 | Professional | FX · Film X-ray | $87.10 | $102.33 | $107.15 |
Where Indiana sits
The same service costs 3.9 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· 46th of 51
$126
AK $407UT $105
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.