How much rates vary
Facilitymedian $60 · 10th to 90th $26 to $955Professionalmedian $85 · 10th to 90th $26 to $123
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $25.70 Median $25.70 Typical High $45.71 | Facility | None | $25.70 | $25.70 | $45.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $25.70 Typical High $28.18 | Professional | None (both parts) | $23.99 | $25.70 | $28.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $9.33 Typical High $9.77 | Professional | 26 · Professional part | $8.71 | $9.33 | $9.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $16.22 Typical High $18.62 | Professional | TC · Technical part | $15.49 | $16.22 | $18.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $107.15 Median $147.91 Typical High $208.93 | Facility | None | $107.15 | $147.91 | $208.93 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $85.11 Median $107.15 Typical High $144.54 | Professional | None (both parts) | $85.11 | $107.15 | $144.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $14.13 Typical High $18.62 | Professional | 26 · Professional part | $8.91 | $14.13 | $18.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $93.33 Typical High $125.89 | Professional | TC · Technical part | $75.86 | $93.33 | $125.89 |
CareSource Setting Facility Modifier None Typical Low $10.23 Median $17.78 Typical High $28.18 | Facility | None | $10.23 | $17.78 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $39.81 Typical High $45.71 | Facility | None | $27.54 | $39.81 | $45.71 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $34.67 Typical High $53.70 | Professional | None (both parts) | $25.12 | $34.67 | $53.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $12.02 Typical High $21.88 | Professional | 26 · Professional part | $9.33 | $12.02 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $21.38 Typical High $33.88 | Professional | TC · Technical part | $15.85 | $21.38 | $33.88 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $954.99 Typical High $2,187.76 | Facility | None | $912.01 | $954.99 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $15.14 Median $58.88 Typical High $70.79 | Professional | None (both parts) | $15.14 | $58.88 | $70.79 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $12.59 Typical High $18.20 | Professional | 26 · Professional part | $10.23 | $12.59 | $18.20 |
United Setting Professional Modifier None (both parts) Typical Low $43.65 Median $57.54 Typical High $104.71 | Professional | None (both parts) | $43.65 | $57.54 | $104.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $12.02 Typical High $19.95 | Professional | 26 · Professional part | $9.12 | $12.02 | $19.95 |
United Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $45.71 Typical High $85.11 | Professional | TC · Technical part | $33.11 | $45.71 | $85.11 |
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 $12.02 Median $12.88 Typical High $14.13 | Professional | 52 · Reduced service | $12.02 | $12.88 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $5.13 Typical High $5.62 | Professional | 53 · Discontinued | $4.79 | $5.13 | $5.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $18.20 Median $20.89 Typical High $22.39 | Professional | FX · Film X-ray | $18.20 | $20.89 | $22.39 |
Where Indiana sits
The same service costs 4.7 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· 6th of 51
$85.11
AK $110FL $23.44
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.