How much rates vary
Facilitymedian $129 · 10th to 90th $46 to $1,072Professionalmedian $59 · 10th to 90th $36 to $87
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 $38.02 Median $53.70 Typical High $851.14 | Facility | None | $38.02 | $53.70 | $851.14 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $14.13 Median $17.78 Typical High $24.55 | Facility | 26 · Professional part | $14.13 | $17.78 | $24.55 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $23.99 Median $31.62 Typical High $46.77 | Facility | TC · Technical part | $23.99 | $31.62 | $46.77 |
Aetna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $37.15 Typical High $61.66 | Professional | None (both parts) | $34.67 | $37.15 | $61.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $14.13 Typical High $20.89 | Professional | 26 · Professional part | $12.88 | $14.13 | $20.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $23.44 Typical High $38.90 | Professional | TC · Technical part | $21.38 | $23.44 | $38.90 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None (both parts) | $30.90 | $30.90 | $30.90 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | 26 · Professional part | $14.45 | $14.45 | $14.45 |
Anthem BCBS Setting Facility Modifier None Typical Low $67.61 Median $199.53 Typical High $1,258.93 | Facility | None | $67.61 | $199.53 | $1,258.93 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $38.90 Median $64.57 Typical High $85.11 | Professional | None (both parts) | $38.90 | $64.57 | $85.11 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $20.89 Typical High $28.18 | Professional | 26 · Professional part | $14.45 | $20.89 | $28.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $42.66 Typical High $58.88 | Professional | TC · Technical part | $24.55 | $42.66 | $58.88 |
CareSource Setting Facility Modifier None Typical Low $15.49 Median $24.55 Typical High $40.74 | Facility | None | $15.49 | $24.55 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $199.53 Typical High $1,023.29 | Facility | None | $64.57 | $199.53 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $64.57 Typical High $102.33 | Professional | None (both parts) | $38.02 | $64.57 | $102.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $18.62 Typical High $28.18 | Professional | 26 · Professional part | $14.45 | $18.62 | $28.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $44.67 Typical High $64.57 | Professional | TC · Technical part | $23.99 | $44.67 | $64.57 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $117.49 Median $912.01 Typical High $2,137.96 | Facility | None | $117.49 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $41.69 Median $50.12 Typical High $79.43 | Professional | None (both parts) | $41.69 | $50.12 | $79.43 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $19.05 Typical High $28.84 | Professional | 26 · Professional part | $15.85 | $19.05 | $28.84 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $31.62 Typical High $51.29 | Professional | TC · Technical part | $26.30 | $31.62 | $51.29 |
United Setting Professional Modifier None (both parts) Typical Low $35.48 Median $52.48 Typical High $93.33 | Professional | None (both parts) | $35.48 | $52.48 | $93.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $16.98 Typical High $28.18 | Professional | 26 · Professional part | $13.80 | $16.98 | $28.18 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $33.11 Typical High $66.07 | Professional | TC · Technical part | $21.38 | $33.11 | $66.07 |
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 $16.98 Median $18.62 Typical High $19.95 | Professional | 52 · Reduced service | $16.98 | $18.62 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $7.41 Typical High $7.94 | Professional | 53 · Discontinued | $6.76 | $7.41 | $7.94 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $26.30 Median $30.90 Typical High $31.62 | Professional | FX · Film X-ray | $26.30 | $30.90 | $31.62 |
Where Indiana sits
The same service costs 3.8 times more in Alaska than in New York. 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· 21st of 51
$60.26
AK $115NY $30.20
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.