How much rates vary
Facilitymedian $200 · 10th to 90th $110 to $955Professionalmedian $170 · 10th to 90th $91 to $240
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 $89.13 Median $109.65 Typical High $158.49 | Facility | None | $89.13 | $109.65 | $158.49 |
Aetna 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 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $25.12 Typical High $37.15 | Professional | 26 · Professional part | $24.55 | $25.12 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $83.18 | Professional | TC · Technical part | $64.57 | $64.57 | $83.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $34.67 Typical High $34.67 | Professional | 26 · Professional part | $19.05 | $34.67 | $34.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $186.21 Median $199.53 Typical High $204.17 | Facility | None | $186.21 | $199.53 | $204.17 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $144.54 Median $186.21 Typical High $239.88 | Professional | None (both parts) | $144.54 | $186.21 | $239.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $56.23 Typical High $64.57 | Professional | 26 · Professional part | $26.30 | $56.23 | $64.57 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $128.82 Typical High $173.78 | Professional | TC · Technical part | $102.33 | $128.82 | $173.78 |
CareSource Setting Facility Modifier None Typical Low $27.54 Median $67.61 Typical High $309.03 | Facility | None | $27.54 | $67.61 | $309.03 |
CareSource Setting Professional Modifier None (both parts) Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | None (both parts) | $23.44 | $23.44 | $23.44 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $173.78 Typical High $269.15 | Professional | None (both parts) | $112.20 | $173.78 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $48.98 Typical High $74.13 | Professional | 26 · Professional part | $30.90 | $48.98 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $125.89 Typical High $199.53 | Professional | TC · Technical part | $81.28 | $125.89 | $199.53 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $457.09 Median $912.01 Typical High $2,137.96 | Facility | None | $457.09 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $165.96 Median $218.78 Typical High $269.15 | Professional | None (both parts) | $165.96 | $218.78 | $269.15 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $34.67 Typical High $61.66 | Professional | 26 · Professional part | $28.84 | $34.67 | $61.66 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $158.49 Typical High $194.98 | Professional | TC · Technical part | $131.83 | $158.49 | $194.98 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $173.78 Typical High $251.19 | Professional | None (both parts) | $147.91 | $173.78 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $44.67 Typical High $63.10 | Professional | 26 · Professional part | $37.15 | $44.67 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $128.82 Typical High $194.98 | Professional | TC · Technical part | $107.15 | $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 $43.65 Median $44.67 Typical High $52.48 | Professional | 52 · Reduced service | $43.65 | $44.67 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.78 Typical High $20.89 | Professional | 53 · Discontinued | $17.38 | $17.78 | $20.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $61.66 Median $79.43 Typical High $79.43 | Professional | FX · Film X-ray | $61.66 | $79.43 | $79.43 |
Where Indiana sits
The same service costs 4.2 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· 28th of 51
$170
NE $380FL $91.20
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.