How much rates vary
Facilitymedian $389 · 10th to 90th $83 to $1,096Professionalmedian $107 · 10th to 90th $69 to $200
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 $123.03 Median $851.14 Typical High $1,096.48 | Facility | None | $123.03 | $851.14 | $1,096.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $123.03 Typical High $154.88 | Professional | None (both parts) | $114.82 | $123.03 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $22.39 Typical High $22.91 | Professional | 26 · Professional part | $20.42 | $22.39 | $22.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $100.00 Typical High $123.03 | Professional | TC · Technical part | $93.33 | $100.00 | $123.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | 26 · Professional part | $33.88 | $33.88 | $33.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $75.86 Median $478.63 Typical High $1,412.54 | Facility | None | $75.86 | $478.63 | $1,412.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $64.57 Median $75.86 Typical High $151.36 | Professional | None (both parts) | $64.57 | $75.86 | $151.36 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $23.44 Typical High $31.62 | Professional | 26 · Professional part | $19.05 | $23.44 | $31.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $53.70 Typical High $134.90 | Professional | TC · Technical part | $44.67 | $53.70 | $134.90 |
CareSource Setting Facility Modifier None Typical Low $25.12 Median $102.33 Typical High $128.82 | Facility | None | $25.12 | $102.33 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $218.78 Typical High $1,023.29 | Facility | None | $77.62 | $218.78 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $97.72 Typical High $190.55 | Professional | None (both parts) | $69.18 | $97.72 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $22.39 Typical High $38.02 | Professional | 26 · Professional part | $19.05 | $22.39 | $38.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $70.79 Typical High $158.49 | Professional | TC · Technical part | $50.12 | $70.79 | $158.49 |
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 $123.03 Median $162.18 Typical High $245.47 | Professional | None (both parts) | $123.03 | $162.18 | $245.47 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $29.51 Typical High $43.65 | Professional | 26 · Professional part | $24.55 | $29.51 | $43.65 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $134.90 Typical High $204.17 | Professional | TC · Technical part | $102.33 | $134.90 | $204.17 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $131.83 Typical High $338.84 | Professional | None (both parts) | $67.61 | $131.83 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $25.12 Typical High $45.71 | Professional | 26 · Professional part | $17.38 | $25.12 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $104.71 Typical High $269.15 | Professional | TC · Technical part | $48.98 | $104.71 | $269.15 |
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 $57.54 Median $61.66 Typical High $74.13 | Professional | 52 · Reduced service | $57.54 | $61.66 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $24.55 Typical High $30.20 | Professional | 53 · Discontinued | $22.91 | $24.55 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $85.11 Median $100.00 Typical High $104.71 | Professional | FX · Film X-ray | $85.11 | $100.00 | $104.71 |
Where Indiana sits
The same service costs 4.1 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· 47th of 51
$110
AK $398UT $97.72
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.