How much rates vary
Facilitymedian $204 · 10th to 90th $76 to $955Professionalmedian $170 · 10th to 90th $74 to $229
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 $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $74.13 Typical High $81.28 | Professional | None (both parts) | $69.18 | $74.13 | $81.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $26.92 Typical High $28.18 | Professional | 26 · Professional part | $25.12 | $26.92 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $46.77 Typical High $53.70 | Professional | TC · Technical part | $44.67 | $46.77 | $53.70 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 26 · Professional part | $21.38 | $21.38 | $21.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $169.82 Median $204.17 Typical High $323.59 | Facility | None | $169.82 | $204.17 | $323.59 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $144.54 Median $169.82 Typical High $229.09 | Professional | None (both parts) | $144.54 | $169.82 | $229.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $38.90 Typical High $52.48 | Professional | 26 · Professional part | $26.92 | $38.90 | $52.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $131.83 Typical High $181.97 | Professional | TC · Technical part | $109.65 | $131.83 | $181.97 |
CareSource Setting Facility Modifier None Typical Low $29.51 Median $50.12 Typical High $79.43 | Facility | None | $29.51 | $50.12 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $134.90 Typical High $251.19 | Facility | None | $77.62 | $134.90 | $251.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $123.03 Typical High $213.80 | Professional | None (both parts) | $74.13 | $123.03 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $34.67 Typical High $53.70 | Professional | 26 · Professional part | $27.54 | $34.67 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $74.13 Typical High $141.25 | Professional | TC · Technical part | $47.86 | $74.13 | $141.25 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $426.58 Median $912.01 Typical High $2,137.96 | Facility | None | $426.58 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $144.54 Median $194.98 Typical High $251.19 | Professional | None (both parts) | $144.54 | $194.98 | $251.19 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $35.48 Typical High $52.48 | Professional | 26 · Professional part | $30.20 | $35.48 | $52.48 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $154.88 Typical High $199.53 | Professional | TC · Technical part | $131.83 | $154.88 | $199.53 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $165.96 Typical High $288.40 | Professional | None (both parts) | $91.20 | $165.96 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $32.36 Typical High $57.54 | Professional | 26 · Professional part | $26.92 | $32.36 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $131.83 Typical High $234.42 | Professional | TC · Technical part | $60.26 | $131.83 | $234.42 |
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 $34.67 Median $37.15 Typical High $40.74 | Professional | 52 · Reduced service | $34.67 | $37.15 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $14.79 Typical High $16.22 | Professional | 53 · Discontinued | $13.80 | $14.79 | $16.22 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $52.48 Median $61.66 Typical High $64.57 | Professional | FX · Film X-ray | $52.48 | $61.66 | $64.57 |
Where Indiana sits
The same service costs 4.4 times more in Alaska than in Texas. 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· 11th of 51
$170
AK $331TX $75.86
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.