How much rates vary
Facilitymedian $832 · 10th to 90th $123 to $9,120Professionalmedian $251 · 10th to 90th $102 to $631
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 $102.33 Median $147.91 Typical High $9,120.11 | Facility | None | $102.33 | $147.91 | $9,120.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $107.15 Typical High $169.82 | Professional | None (both parts) | $100.00 | $107.15 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $47.86 Typical High $67.61 | Professional | 26 · Professional part | $45.71 | $47.86 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $56.23 Typical High $89.13 | Professional | TC · Technical part | $53.70 | $56.23 | $89.13 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $218.78 | Professional | None (both parts) | $75.86 | $75.86 | $218.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $426.58 Median $6,918.31 Typical High $11,220.18 | Facility | None | $426.58 | $6,918.31 | $11,220.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $104.71 Median $426.58 Typical High $616.60 | Professional | None (both parts) | $104.71 | $426.58 | $616.60 |
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 $56.23 Median $354.81 Typical High $501.19 | Professional | TC · Technical part | $56.23 | $354.81 | $501.19 |
CareSource Setting Facility Modifier None Typical Low $54.95 Median $57.54 Typical High $112.20 | Facility | None | $54.95 | $57.54 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $6,918.31 Typical High $10,232.93 | Facility | None | $177.83 | $6,918.31 | $10,232.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $263.03 Typical High $812.83 | Professional | None (both parts) | $109.65 | $263.03 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $64.57 Typical High $95.50 | Professional | 26 · Professional part | $50.12 | $64.57 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $162.18 Typical High $588.84 | Professional | TC · Technical part | $58.88 | $162.18 | $588.84 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $316.23 Median $912.01 Typical High $2,137.96 | Facility | None | $316.23 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $112.20 Median $141.25 Typical High $223.87 | Professional | None (both parts) | $112.20 | $141.25 | $223.87 |
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 $61.66 Median $75.86 Typical High $125.89 | Professional | TC · Technical part | $61.66 | $75.86 | $125.89 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $177.83 Typical High $549.54 | Professional | None (both parts) | $114.82 | $177.83 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $60.26 Typical High $100.00 | Professional | 26 · Professional part | $48.98 | $60.26 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $97.72 Typical High $467.74 | Professional | TC · Technical part | $63.10 | $97.72 | $467.74 |
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 $48.98 Median $51.29 Typical High $54.95 | Professional | 52 · Reduced service | $48.98 | $51.29 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $20.42 Typical High $22.39 | Professional | 53 · Discontinued | $19.50 | $20.42 | $22.39 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $87.10 Typical High $89.13 | Professional | FX · Film X-ray | $75.86 | $87.10 | $89.13 |
Where Indiana sits
The same service costs 4.8 times more in Kansas 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
$257
KS $363UT $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.