How much rates vary
Facilitymedian $525 · 10th to 90th $123 to $4,074Professionalmedian $126 · 10th to 90th $105 to $214
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 $144.54 Median $173.78 Typical High $4,570.88 | Facility | None | $144.54 | $173.78 | $4,570.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $57.54 Median $85.11 Typical High $102.33 | Facility | TC · Technical part | $57.54 | $85.11 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $120.23 Typical High $154.88 | Professional | None (both parts) | $114.82 | $120.23 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $63.10 Typical High $81.28 | Professional | 26 · Professional part | $57.54 | $63.10 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $57.54 Typical High $91.20 | Professional | TC · Technical part | $54.95 | $57.54 | $91.20 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None (both parts) | $257.04 | $257.04 | $257.04 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $64.57 | Professional | 26 · Professional part | $51.29 | $51.29 | $64.57 |
Anthem BCBS Setting Facility Modifier None Typical Low $87.10 Median $4,073.80 Typical High $5,623.41 | Facility | None | $87.10 | $4,073.80 | $5,623.41 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $104.71 Median $123.03 Typical High $173.78 | Professional | None (both parts) | $104.71 | $123.03 | $173.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $69.18 Typical High $97.72 | Professional | 26 · Professional part | $54.95 | $69.18 | $97.72 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $54.95 Typical High $83.18 | Professional | TC · Technical part | $46.77 | $54.95 | $83.18 |
CareSource Setting Facility Modifier None Typical Low $60.26 Median $70.79 Typical High $131.83 | Facility | None | $60.26 | $70.79 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $3,981.07 Typical High $4,073.80 | Facility | None | $158.49 | $3,981.07 | $4,073.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $151.36 Typical High $275.42 | Professional | None (both parts) | $117.49 | $151.36 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $66.07 Typical High $125.89 | Professional | 26 · Professional part | $56.23 | $66.07 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $72.44 Typical High $147.91 | Professional | TC · Technical part | $57.54 | $72.44 | $147.91 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $380.19 Median $912.01 Typical High $2,137.96 | Facility | None | $380.19 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $134.90 Median $162.18 Typical High $245.47 | Professional | None (both parts) | $134.90 | $162.18 | $245.47 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $83.18 Typical High $125.89 | Professional | 26 · Professional part | $67.61 | $83.18 | $125.89 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $81.28 Typical High $125.89 | Professional | TC · Technical part | $64.57 | $81.28 | $125.89 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $141.25 Typical High $251.19 | Professional | None (both parts) | $109.65 | $141.25 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $56.23 Typical High $112.20 | Professional | 26 · Professional part | $47.86 | $56.23 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $83.18 Typical High $151.36 | Professional | TC · Technical part | $61.66 | $83.18 | $151.36 |
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 $57.54 Median $60.26 Typical High $64.57 | Professional | 52 · Reduced service | $57.54 | $60.26 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $23.99 Typical High $25.70 | Professional | 53 · Discontinued | $22.91 | $23.99 | $25.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $85.11 Median $100.00 Typical High $102.33 | Professional | FX · Film X-ray | $85.11 | $100.00 | $102.33 |
Where Indiana sits
The same service costs 5.2 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· 45th of 51
$126
AK $398UT $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.