How much rates vary
Facilitymedian $339 · 10th to 90th $126 to $912Professionalmedian $117 · 10th to 90th $87 to $195
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 $141.25 Median $169.82 Typical High $524.81 | Facility | None | $141.25 | $169.82 | $524.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $123.03 Typical High $131.83 | Professional | None (both parts) | $107.15 | $123.03 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $21.38 Typical High $23.99 | Professional | 26 · Professional part | $19.95 | $21.38 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $100.00 Typical High $107.15 | Professional | TC · Technical part | $83.18 | $100.00 | $107.15 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | 26 · Professional part | $37.15 | $37.15 | $37.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $102.33 Median $234.42 Typical High $537.03 | Facility | None | $102.33 | $234.42 | $537.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $83.18 Median $97.72 Typical High $147.91 | Professional | None (both parts) | $83.18 | $97.72 | $147.91 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $31.62 Typical High $43.65 | Professional | 26 · Professional part | $21.88 | $31.62 | $43.65 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $64.57 Typical High $112.20 | Professional | TC · Technical part | $54.95 | $64.57 | $112.20 |
CareSource Setting Facility Modifier None Typical Low $23.44 Median $102.33 Typical High $125.89 | Facility | None | $23.44 | $102.33 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $1,023.29 | Facility | None | $199.53 | $199.53 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $125.89 Typical High $223.87 | Professional | None (both parts) | $100.00 | $125.89 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $28.18 Typical High $43.65 | Professional | 26 · Professional part | $22.39 | $28.18 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $95.50 Typical High $199.53 | Professional | TC · Technical part | $72.44 | $95.50 | $199.53 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $371.54 Median $912.01 Typical High $2,137.96 | Facility | None | $371.54 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $125.89 Median $162.18 Typical High $239.88 | Professional | None (both parts) | $125.89 | $162.18 | $239.88 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $28.84 Typical High $43.65 | Professional | 26 · Professional part | $23.44 | $28.84 | $43.65 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $134.90 Typical High $204.17 | Professional | TC · Technical part | $104.71 | $134.90 | $204.17 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $128.82 Typical High $229.09 | Professional | None (both parts) | $97.72 | $128.82 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $25.70 Typical High $43.65 | Professional | 26 · Professional part | $21.38 | $25.70 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $102.33 Typical High $190.55 | Professional | TC · Technical part | $75.86 | $102.33 | $190.55 |
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 $54.95 Median $61.66 Typical High $64.57 | Professional | 52 · Reduced service | $54.95 | $61.66 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $24.55 Typical High $26.30 | Professional | 53 · Discontinued | $21.88 | $24.55 | $26.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $100.00 Typical High $104.71 | Professional | FX · Film X-ray | $83.18 | $100.00 | $104.71 |
Where Indiana sits
The same service costs 4.2 times more in Alaska than in Utah. 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· 44th of 51
$120
AK $398UT $95.50
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.