How much rates vary
Facilitymedian $1,585 · 10th to 90th $200 to $4,571Professionalmedian $257 · 10th to 90th $107 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 $107.15 Median $3,235.94 Typical High $4,570.88 | Facility | None | $107.15 | $3,235.94 | $4,570.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $109.65 Typical High $173.78 | Professional | None (both parts) | $102.33 | $109.65 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $48.98 Typical High $64.57 | Professional | 26 · Professional part | $45.71 | $48.98 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $60.26 Typical High $85.11 | Professional | TC · Technical part | $57.54 | $60.26 | $85.11 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $36.31 | $43.65 | $43.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $426.58 Median $1,584.89 Typical High $5,623.41 | Facility | None | $426.58 | $1,584.89 | $5,623.41 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $109.65 Median $426.58 Typical High $616.60 | Professional | None (both parts) | $109.65 | $426.58 | $616.60 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $74.13 Typical High $100.00 | Professional | 26 · Professional part | $50.12 | $74.13 | $100.00 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $354.81 Typical High $512.86 | Professional | TC · Technical part | $61.66 | $354.81 | $512.86 |
CareSource Setting Facility Modifier None Typical Low $54.95 Median $60.26 Typical High $114.82 | Facility | None | $54.95 | $60.26 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $1,584.89 Typical High $2,511.89 | Facility | None | $186.21 | $1,584.89 | $2,511.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $269.15 Typical High $812.83 | Professional | None (both parts) | $112.20 | $269.15 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $64.57 Typical High $97.72 | Professional | 26 · Professional part | $51.29 | $64.57 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $165.96 Typical High $588.84 | Professional | TC · Technical part | $63.10 | $165.96 | $588.84 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $331.13 Median $912.01 Typical High $2,137.96 | Facility | None | $331.13 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $117.49 Median $147.91 Typical High $229.09 | Professional | None (both parts) | $117.49 | $147.91 | $229.09 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $66.07 Typical High $102.33 | Professional | 26 · Professional part | $54.95 | $66.07 | $102.33 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $81.28 Typical High $131.83 | Professional | TC · Technical part | $66.07 | $81.28 | $131.83 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $181.97 Typical High $549.54 | Professional | None (both parts) | $120.23 | $181.97 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $60.26 Typical High $97.72 | Professional | 26 · Professional part | $50.12 | $60.26 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $104.71 Typical High $467.74 | Professional | TC · Technical part | $66.07 | $104.71 | $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 $51.29 Median $53.70 Typical High $57.54 | Professional | 52 · Reduced service | $51.29 | $53.70 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $21.38 Typical High $23.44 | Professional | 53 · Discontinued | $20.42 | $21.38 | $23.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $89.13 Typical High $93.33 | Professional | FX · Film X-ray | $79.43 | $89.13 | $93.33 |
Where Indiana sits
The same service costs 4.8 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· 7th of 51
$263
AK $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.