How much rates vary
Facilitymedian $427 · 10th to 90th $129 to $9,772Professionalmedian $245 · 10th to 90th $110 to $617
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 $109.65 Median $154.88 Typical High $9,120.11 | Facility | None | $109.65 | $154.88 | $9,120.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $109.65 Typical High $154.88 | Professional | None (both parts) | $104.71 | $109.65 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $47.86 Typical High $61.66 | Professional | 26 · Professional part | $44.67 | $47.86 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $63.10 Typical High $89.13 | Professional | TC · Technical part | $58.88 | $63.10 | $89.13 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $79.43 | $79.43 | $79.43 |
Anthem BCBS Setting Facility Modifier None Typical Low $436.52 Median $562.34 Typical High $12,882.50 | Facility | None | $436.52 | $562.34 | $12,882.50 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $112.20 Median $436.52 Typical High $575.44 | Professional | None (both parts) | $112.20 | $436.52 | $575.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $74.13 Typical High $97.72 | Professional | 26 · Professional part | $47.86 | $74.13 | $97.72 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $354.81 Typical High $478.63 | Professional | TC · Technical part | $63.10 | $354.81 | $478.63 |
CareSource Setting Facility Modifier None Typical Low $52.48 Median $64.57 Typical High $117.49 | Facility | None | $52.48 | $64.57 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $213.80 Typical High $10,232.93 | Facility | None | $125.89 | $213.80 | $10,232.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $269.15 Typical High $758.58 | Professional | None (both parts) | $112.20 | $269.15 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $64.57 Typical High $102.33 | Professional | 26 · Professional part | $48.98 | $64.57 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $165.96 Typical High $562.34 | Professional | TC · Technical part | $63.10 | $165.96 | $562.34 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $338.84 Median $912.01 Typical High $2,137.96 | Facility | None | $338.84 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $120.23 Median $151.36 Typical High $234.42 | Professional | None (both parts) | $120.23 | $151.36 | $234.42 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $64.57 Typical High $97.72 | Professional | 26 · Professional part | $53.70 | $64.57 | $97.72 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $85.11 Typical High $138.04 | Professional | TC · Technical part | $69.18 | $85.11 | $138.04 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $186.21 Typical High $478.63 | Professional | None (both parts) | $120.23 | $186.21 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $60.26 Typical High $102.33 | Professional | 26 · Professional part | $47.86 | $60.26 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $107.15 Typical High $331.13 | Professional | TC · Technical part | $69.18 | $107.15 | $331.13 |
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 $21.88 Typical High $23.44 | Professional | 53 · Discontinued | $20.42 | $21.88 | $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 4.9 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
$257
AK $372UT $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.