How much rates vary
Facilitymedian $437 · 10th to 90th $132 to $16,982Professionalmedian $257 · 10th to 90th $110 to $617
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 $109.65 Median $158.49 Typical High $15,848.93 | Facility | None | $109.65 | $158.49 | $15,848.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $109.65 Typical High $158.49 | Professional | None (both parts) | $104.71 | $109.65 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $47.86 Typical High $64.57 | Professional | 26 · Professional part | $45.71 | $47.86 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $60.26 Typical High $81.28 | Professional | TC · Technical part | $57.54 | $60.26 | $81.28 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | 26 · Professional part | $35.48 | $35.48 | $35.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $436.52 Median $575.44 Typical High $22,908.68 | Facility | None | $436.52 | $575.44 | $22,908.68 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $112.20 Median $436.52 Typical High $588.84 | Professional | None (both parts) | $112.20 | $436.52 | $588.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $74.13 Typical High $97.72 | Professional | 26 · Professional part | $48.98 | $74.13 | $97.72 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $363.08 Typical High $489.78 | Professional | TC · Technical part | $63.10 | $363.08 | $489.78 |
CareSource Setting Facility Modifier None Typical Low $54.95 Median $63.10 Typical High $117.49 | Facility | None | $54.95 | $63.10 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $208.93 Typical High $17,378.01 | Facility | None | $165.96 | $208.93 | $17,378.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $275.42 Typical High $776.25 | Professional | None (both parts) | $114.82 | $275.42 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $64.57 Typical High $97.72 | Professional | 26 · Professional part | $50.12 | $64.57 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $173.78 Typical High $562.34 | Professional | TC · Technical part | $63.10 | $173.78 | $562.34 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $338.84 Median $912.01 Typical High $2,137.96 | Facility | None | $338.84 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $120.23 Median $151.36 Typical High $234.42 | Professional | None (both parts) | $120.23 | $151.36 | $234.42 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $66.07 Typical High $102.33 | Professional | 26 · Professional part | $53.70 | $66.07 | $102.33 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $85.11 Typical High $134.90 | Professional | TC · Technical part | $67.61 | $85.11 | $134.90 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $181.97 Typical High $489.78 | Professional | None (both parts) | $117.49 | $181.97 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $60.26 Typical High $102.33 | Professional | 26 · Professional part | $48.98 | $60.26 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $104.71 Typical High $346.74 | Professional | TC · Technical part | $67.61 | $104.71 | $346.74 |
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 $51.29 Median $53.70 Typical High $58.88 | Professional | 52 · Reduced service | $51.29 | $53.70 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $21.88 Typical High $23.44 | Professional | 53 · Discontinued | $20.42 | $21.88 | $23.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $81.28 Median $91.20 Typical High $93.33 | Professional | FX · Film X-ray | $81.28 | $91.20 | $93.33 |
Where Indiana sits
The same service costs 4.9 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· 6th of 51
$269
AK $372UT $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.