How much rates vary
Facilitymedian $575 · 10th to 90th $148 to $16,982Professionalmedian $275 · 10th to 90th $129 to $617
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 $128.82 Median $10,964.78 Typical High $15,848.93 | Facility | None | $128.82 | $10,964.78 | $15,848.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $128.82 Typical High $208.93 | Professional | None (both parts) | $123.03 | $128.82 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $47.86 Typical High $61.66 | Professional | 26 · Professional part | $44.67 | $47.86 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $79.43 Typical High $128.82 | Professional | TC · Technical part | $75.86 | $79.43 | $128.82 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $72.44 Typical High $89.13 | Professional | 26 · Professional part | $72.44 | $72.44 | $89.13 |
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 $134.90 Median $436.52 Typical High $588.84 | Professional | None (both parts) | $134.90 | $436.52 | $588.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $74.13 Typical High $97.72 | Professional | 26 · Professional part | $47.86 | $74.13 | $97.72 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $363.08 Typical High $489.78 | Professional | TC · Technical part | $85.11 | $363.08 | $489.78 |
CareSource Setting Facility Modifier None Typical Low $52.48 Median $87.10 Typical High $141.25 | Facility | None | $52.48 | $87.10 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $323.59 Typical High $17,378.01 | Facility | None | $147.91 | $323.59 | $17,378.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $323.59 Typical High $758.58 | Professional | None (both parts) | $131.83 | $323.59 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $64.57 Typical High $97.72 | Professional | 26 · Professional part | $48.98 | $64.57 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $186.21 Typical High $562.34 | Professional | TC · Technical part | $85.11 | $186.21 | $562.34 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $407.38 Median $912.01 Typical High $2,137.96 | Facility | None | $407.38 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $144.54 Median $181.97 Typical High $281.84 | Professional | None (both parts) | $144.54 | $181.97 | $281.84 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $64.57 Typical High $100.00 | Professional | 26 · Professional part | $53.70 | $64.57 | $100.00 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $117.49 Typical High $181.97 | Professional | TC · Technical part | $91.20 | $117.49 | $181.97 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $204.17 Typical High $501.19 | Professional | None (both parts) | $138.04 | $204.17 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $60.26 Typical High $102.33 | Professional | 26 · Professional part | $47.86 | $60.26 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $131.83 Typical High $363.08 | Professional | TC · Technical part | $87.10 | $131.83 | $363.08 |
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 $61.66 Median $64.57 Typical High $69.18 | Professional | 52 · Reduced service | $61.66 | $64.57 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $25.70 Typical High $27.54 | Professional | 53 · Discontinued | $24.55 | $25.70 | $27.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $93.33 Median $107.15 Typical High $109.65 | Professional | FX · Film X-ray | $93.33 | $107.15 | $109.65 |
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· 12th of 51
$282
AK $437UT $105
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.