How much rates vary
Facilitymedian $776 · 10th to 90th $263 to $10,233Professionalmedian $309 · 10th to 90th $145 to $631
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 $144.54 Median $6,606.93 Typical High $9,120.11 | Facility | None | $144.54 | $6,606.93 | $9,120.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $144.54 Typical High $186.21 | Professional | None (both parts) | $131.83 | $144.54 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $50.12 Typical High $56.23 | Professional | 26 · Professional part | $45.71 | $50.12 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $95.50 Typical High $112.20 | Professional | TC · Technical part | $87.10 | $95.50 | $112.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $446.68 Median $660.69 Typical High $12,882.50 | Facility | None | $446.68 | $660.69 | $12,882.50 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $154.88 Median $446.68 Typical High $602.56 | Professional | None (both parts) | $154.88 | $446.68 | $602.56 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $77.62 Typical High $102.33 | Professional | 26 · Professional part | $51.29 | $77.62 | $102.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $371.54 Typical High $501.19 | Professional | TC · Technical part | $104.71 | $371.54 | $501.19 |
CareSource Setting Facility Modifier None Typical Low $56.23 Median $102.33 Typical High $158.49 | Facility | None | $56.23 | $102.33 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $331.13 Typical High $10,232.93 | Facility | None | $263.03 | $331.13 | $10,232.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $338.84 Typical High $776.25 | Professional | None (both parts) | $151.36 | $338.84 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $67.61 Typical High $102.33 | Professional | 26 · Professional part | $51.29 | $67.61 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $199.53 Typical High $562.34 | Professional | TC · Technical part | $100.00 | $199.53 | $562.34 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $467.74 Median $912.01 Typical High $2,137.96 | Facility | None | $467.74 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $165.96 Median $204.17 Typical High $316.23 | Professional | None (both parts) | $165.96 | $204.17 | $316.23 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $67.61 Typical High $104.71 | Professional | 26 · Professional part | $56.23 | $67.61 | $104.71 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $134.90 Typical High $213.80 | Professional | TC · Technical part | $112.20 | $134.90 | $213.80 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $223.87 Typical High $512.86 | Professional | None (both parts) | $151.36 | $223.87 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $63.10 Typical High $104.71 | Professional | 26 · Professional part | $51.29 | $63.10 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $147.91 Typical High $371.54 | Professional | TC · Technical part | $97.72 | $147.91 | $371.54 |
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 $66.07 Median $72.44 Typical High $77.62 | Professional | 52 · Reduced service | $66.07 | $72.44 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $28.84 Typical High $30.90 | Professional | 53 · Discontinued | $26.30 | $28.84 | $30.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $104.71 Median $123.03 Typical High $125.89 | Professional | FX · Film X-ray | $104.71 | $123.03 | $125.89 |
Where Indiana sits
The same service costs 4.0 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· 6th of 51
$331
AK $479TX $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.