How much rates vary
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 $120.23 Median $186.21 Typical High $1,659.59 | Facility | None | $120.23 | $186.21 | $1,659.59 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $28.18 Median $35.48 Typical High $48.98 | Facility | 26 · Professional part | $28.18 | $35.48 | $48.98 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $72.44 Median $93.33 Typical High $128.82 | Facility | TC · Technical part | $72.44 | $93.33 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $102.33 Typical High $186.21 | Professional | None (both parts) | $93.33 | $102.33 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $28.18 Typical High $48.98 | Professional | 26 · Professional part | $26.92 | $28.18 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $72.44 Typical High $109.65 | Professional | TC · Technical part | $66.07 | $72.44 | $109.65 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.42 Typical High $25.70 | Professional | 26 · Professional part | $20.42 | $20.42 | $25.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $144.54 Median $181.97 Typical High $354.81 | Facility | None | $144.54 | $181.97 | $354.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $79.43 Median $144.54 Typical High $190.55 | Professional | None (both parts) | $79.43 | $144.54 | $190.55 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $33.11 Typical High $44.67 | Professional | 26 · Professional part | $25.70 | $33.11 | $44.67 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $109.65 Typical High $144.54 | Professional | TC · Technical part | $57.54 | $109.65 | $144.54 |
CareSource Setting Facility Modifier None Typical Low $28.18 Median $70.79 Typical High $97.72 | Facility | None | $28.18 | $70.79 | $97.72 |
CareSource Setting Professional Modifier None (both parts) Typical Low $25.70 Median $67.61 Typical High $114.82 | Professional | None (both parts) | $25.70 | $67.61 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $229.09 Typical High $707.95 | Facility | None | $181.97 | $229.09 | $707.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $104.71 Typical High $190.55 | Professional | None (both parts) | $93.33 | $104.71 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $32.36 Typical High $46.77 | Professional | 26 · Professional part | $25.70 | $32.36 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $72.44 Typical High $144.54 | Professional | TC · Technical part | $63.10 | $72.44 | $144.54 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $165.96 Median $309.03 Typical High $2,089.30 | Facility | None | $165.96 | $309.03 | $2,089.30 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $109.65 Median $141.25 Typical High $190.55 | Professional | None (both parts) | $109.65 | $141.25 | $190.55 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $38.02 Typical High $51.29 | Professional | 26 · Professional part | $30.20 | $38.02 | $51.29 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $102.33 Typical High $138.04 | Professional | TC · Technical part | $79.43 | $102.33 | $138.04 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $107.15 Typical High $204.17 | Professional | None (both parts) | $85.11 | $107.15 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $29.51 Typical High $57.54 | Professional | 26 · Professional part | $25.12 | $29.51 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $77.62 Typical High $147.91 | Professional | TC · Technical part | $58.88 | $77.62 | $147.91 |
2 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 CT · Older CT scanner Typical Low $79.43 Median $93.33 Typical High $104.71 | Professional | CT · Older CT scanner | $79.43 | $93.33 | $104.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $74.13 Median $87.10 Typical High $97.72 | Professional | FX · Film X-ray | $74.13 | $87.10 | $97.72 |
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· 27th of 51
$120
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.