How much rates vary
Facilitymedian $309 · 10th to 90th $59 to $955Professionalmedian $162 · 10th to 90th $60 to $224
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 $58.88 Median $75.86 Typical High $75.86 | Facility | None | $58.88 | $75.86 | $75.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $58.88 Typical High $77.62 | Professional | None (both parts) | $56.23 | $58.88 | $77.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $21.38 Typical High $27.54 | Professional | 26 · Professional part | $20.42 | $21.38 | $27.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $37.15 Typical High $46.77 | Professional | TC · Technical part | $36.31 | $37.15 | $46.77 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $35.48 Typical High $35.48 | Professional | 26 · Professional part | $30.20 | $35.48 | $35.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $173.78 Median $204.17 Typical High $338.84 | Facility | None | $173.78 | $204.17 | $338.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $147.91 Median $173.78 Typical High $229.09 | Professional | None (both parts) | $147.91 | $173.78 | $229.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $45.71 Typical High $53.70 | Professional | 26 · Professional part | $23.44 | $45.71 | $53.70 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $128.82 Typical High $169.82 | Professional | TC · Technical part | $109.65 | $128.82 | $169.82 |
CareSource Setting Facility Modifier None Typical Low $23.99 Median $39.81 Typical High $309.03 | Facility | None | $23.99 | $39.81 | $309.03 |
CareSource Setting Professional Modifier None (both parts) Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None (both parts) | $19.95 | $19.95 | $19.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $117.49 Typical High $251.19 | Professional | None (both parts) | $69.18 | $117.49 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $38.02 Typical High $61.66 | Professional | 26 · Professional part | $25.70 | $38.02 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $67.61 Typical High $147.91 | Professional | TC · Technical part | $44.67 | $67.61 | $147.91 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $446.68 Median $912.01 Typical High $2,137.96 | Facility | None | $446.68 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $162.18 Median $218.78 Typical High $263.03 | Professional | None (both parts) | $162.18 | $218.78 | $263.03 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $30.20 Typical High $51.29 | Professional | 26 · Professional part | $25.12 | $30.20 | $51.29 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $169.82 Typical High $199.53 | Professional | TC · Technical part | $138.04 | $169.82 | $199.53 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $165.96 Typical High $257.04 | Professional | None (both parts) | $141.25 | $165.96 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $35.48 Typical High $52.48 | Professional | 26 · Professional part | $29.51 | $35.48 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $134.90 Typical High $204.17 | Professional | TC · Technical part | $107.15 | $134.90 | $204.17 |
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 $28.18 Median $29.51 Typical High $33.11 | Professional | 52 · Reduced service | $28.18 | $29.51 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $11.75 Typical High $13.18 | Professional | 53 · Discontinued | $11.22 | $11.75 | $13.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $41.69 Median $51.29 Typical High $51.29 | Professional | FX · Film X-ray | $41.69 | $51.29 | $51.29 |
Where Indiana sits
The same service costs 6.6 times more in Nebraska 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· 13th of 51
$162
NE $363FL $54.95
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.