How much rates vary
Facilitymedian $380 · 10th to 90th $117 to $955Professionalmedian $138 · 10th to 90th $91 to $191
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 $117.49 Median $117.49 Typical High $169.82 | Facility | None | $117.49 | $117.49 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $117.49 Typical High $131.83 | Professional | None (both parts) | $112.20 | $117.49 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $33.88 Typical High $34.67 | Professional | 26 · Professional part | $31.62 | $33.88 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $85.11 Typical High $95.50 | Professional | TC · Technical part | $81.28 | $85.11 | $95.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $269.15 | Facility | None | $141.25 | $141.25 | $269.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $91.20 Median $128.82 Typical High $151.36 | Professional | None (both parts) | $91.20 | $128.82 | $151.36 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $50.12 Typical High $57.54 | Professional | 26 · Professional part | $33.88 | $50.12 | $57.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $91.20 Typical High $120.23 | Professional | TC · Technical part | $77.62 | $91.20 | $120.23 |
CareSource Setting Facility Modifier None Typical Low $37.15 Median $91.20 Typical High $281.84 | Facility | None | $37.15 | $91.20 | $281.84 |
CareSource Setting Professional Modifier None (both parts) Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None (both parts) | $31.62 | $31.62 | $31.62 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $154.88 Typical High $239.88 | Professional | None (both parts) | $128.82 | $154.88 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $41.69 Typical High $72.44 | Professional | 26 · Professional part | $34.67 | $41.69 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $112.20 Typical High $173.78 | Professional | TC · Technical part | $91.20 | $112.20 | $173.78 |
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 $138.04 Median $181.97 Typical High $234.42 | Professional | None (both parts) | $138.04 | $181.97 | $234.42 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $45.71 Typical High $67.61 | Professional | 26 · Professional part | $38.90 | $45.71 | $67.61 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $131.83 Typical High $162.18 | Professional | TC · Technical part | $107.15 | $131.83 | $162.18 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $144.54 Typical High $223.87 | Professional | None (both parts) | $120.23 | $144.54 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.90 Typical High $58.88 | Professional | 26 · Professional part | $32.36 | $38.90 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $107.15 Typical High $162.18 | Professional | TC · Technical part | $89.13 | $107.15 | $162.18 |
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 $56.23 Median $58.88 Typical High $66.07 | Professional | 52 · Reduced service | $56.23 | $58.88 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $23.44 Typical High $26.30 | Professional | 53 · Discontinued | $22.39 | $23.44 | $26.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $102.33 Typical High $104.71 | Professional | FX · Film X-ray | $83.18 | $102.33 | $104.71 |
Where Indiana sits
The same service costs 4.5 times more in Alaska than in Washington, DC. 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· 35th of 51
$138
AK $389DC $87.10
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.