How much rates vary
Facilitymedian $871 · 10th to 90th $251 to $9,120Professionalmedian $324 · 10th to 90th $204 to $2,630
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 $2,630.27 Median $6,606.93 Typical High $9,120.11 | Facility | None | $2,630.27 | $6,606.93 | $9,120.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,398.83 Median $2,630.27 Typical High $2,818.38 | Professional | None (both parts) | $2,398.83 | $2,630.27 | $2,818.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $35.48 Typical High $38.02 | Professional | 26 · Professional part | $33.11 | $35.48 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $2,398.83 Median $2,630.27 Typical High $2,818.38 | Professional | TC · Technical part | $2,398.83 | $2,630.27 | $2,818.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $213.80 Median $416.87 Typical High $12,882.50 | Facility | None | $213.80 | $416.87 | $12,882.50 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $181.97 Median $213.80 Typical High $1,023.29 | Professional | None (both parts) | $181.97 | $213.80 | $1,023.29 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $52.48 Typical High $70.79 | Professional | 26 · Professional part | $36.31 | $52.48 | $70.79 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $162.18 Typical High $1,000.00 | Professional | TC · Technical part | $138.04 | $162.18 | $1,000.00 |
CareSource Setting Facility Modifier None Typical Low $39.81 Median $204.17 Typical High $245.47 | Facility | None | $39.81 | $204.17 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $398.11 Typical High $3,981.07 | Facility | None | $251.19 | $398.11 | $3,981.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $309.03 Typical High $436.52 | Professional | None (both parts) | $223.87 | $309.03 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $46.77 Typical High $69.18 | Professional | 26 · Professional part | $36.31 | $46.77 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $263.03 Typical High $338.84 | Professional | TC · Technical part | $194.98 | $263.03 | $338.84 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $758.58 Median $912.01 Typical High $2,137.96 | Facility | None | $758.58 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $257.04 Median $346.74 Typical High $446.68 | Professional | None (both parts) | $257.04 | $346.74 | $446.68 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $47.86 Typical High $70.79 | Professional | 26 · Professional part | $39.81 | $47.86 | $70.79 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $295.12 Typical High $389.05 | Professional | TC · Technical part | $251.19 | $295.12 | $389.05 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $1,513.56 Typical High $3,467.37 | Professional | None (both parts) | $269.15 | $1,513.56 | $3,467.37 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $43.65 Typical High $77.62 | Professional | 26 · Professional part | $35.48 | $43.65 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $1,513.56 Typical High $3,311.31 | Professional | TC · Technical part | $223.87 | $1,513.56 | $3,311.31 |
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 $1,202.26 Median $1,318.26 Typical High $1,412.54 | Professional | 52 · Reduced service | $1,202.26 | $1,318.26 | $1,412.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $478.63 Median $524.81 Typical High $562.34 | Professional | 53 · Discontinued | $478.63 | $524.81 | $562.34 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $1,905.46 Median $2,238.72 Typical High $2,238.72 | Professional | FX · Film X-ray | $1,905.46 | $2,238.72 | $2,238.72 |
Where Indiana sits
The same service costs 15.1 times more in Colorado than in New Jersey. 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· 46th of 51
$324
CO $3,715NJ $245
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.