How much rates vary
Facilitymedian $195 · 10th to 90th $100 to $724Professionalmedian $224 · 10th to 90th $178 to $331
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 $234.42 Median $363.08 Typical High $524.81 | Facility | None | $234.42 | $363.08 | $524.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $234.42 Typical High $245.47 | Professional | None (both parts) | $208.93 | $234.42 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $91.20 Typical High $97.72 | Professional | 26 · Professional part | $87.10 | $91.20 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $141.25 Typical High $147.91 | Professional | TC · Technical part | $123.03 | $141.25 | $147.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $97.72 Median $151.36 Typical High $549.54 | Facility | None | $97.72 | $151.36 | $549.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $177.83 Median $208.93 Typical High $288.40 | Professional | None (both parts) | $177.83 | $208.93 | $288.40 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $131.83 Typical High $154.88 | Professional | 26 · Professional part | $97.72 | $131.83 | $154.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $77.62 Typical High $165.96 | Professional | TC · Technical part | $66.07 | $77.62 | $165.96 |
CareSource Setting Facility Modifier None Typical Low $102.33 Median $151.36 Typical High $416.87 | Facility | None | $102.33 | $151.36 | $416.87 |
CareSource Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None (both parts) | $87.10 | $87.10 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $194.98 Typical High $549.54 | Facility | None | $112.20 | $194.98 | $549.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $257.04 Typical High $467.74 | Professional | None (both parts) | $208.93 | $257.04 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $112.20 Typical High $190.55 | Professional | 26 · Professional part | $95.50 | $112.20 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $138.04 Typical High $288.40 | Professional | TC · Technical part | $100.00 | $138.04 | $288.40 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $213.80 Median $794.33 Typical High $954.99 | Facility | None | $213.80 | $794.33 | $954.99 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $263.03 Median $331.13 Typical High $478.63 | Professional | None (both parts) | $263.03 | $331.13 | $478.63 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $128.82 Typical High $186.21 | Professional | 26 · Professional part | $107.15 | $128.82 | $186.21 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $199.53 Typical High $295.12 | Professional | TC · Technical part | $151.36 | $199.53 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $194.98 Median $229.09 Typical High $346.74 | Professional | None (both parts) | $194.98 | $229.09 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $102.33 Typical High $154.88 | Professional | 26 · Professional part | $87.10 | $102.33 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $128.82 Typical High $194.98 | Professional | TC · Technical part | $95.50 | $128.82 | $194.98 |
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 $109.65 Median $117.49 Typical High $123.03 | Professional | 52 · Reduced service | $109.65 | $117.49 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $46.77 Typical High $48.98 | Professional | 53 · Discontinued | $43.65 | $46.77 | $48.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $165.96 Median $194.98 Typical High $194.98 | Professional | FX · Film X-ray | $165.96 | $194.98 | $194.98 |
Where Indiana sits
The same service costs 5.4 times more in Alaska than in Texas. 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· 42nd of 51
$224
AK $741TX $138
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.