How much rates vary
Facilitymedian $295 · 10th to 90th $83 to $2,188Professionalmedian $98 · 10th to 90th $74 to $174
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 $97.72 Median $1,230.27 Typical High $1,778.28 | Facility | None | $97.72 | $1,230.27 | $1,778.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $97.72 Typical High $112.20 | Professional | None (both parts) | $91.20 | $97.72 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $30.90 Typical High $33.11 | Professional | 26 · Professional part | $28.84 | $30.90 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $66.07 Typical High $75.86 | Professional | TC · Technical part | $63.10 | $66.07 | $75.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $56.23 Median $380.19 Typical High $2,570.40 | Facility | None | $56.23 | $380.19 | $2,570.40 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $69.18 Median $81.28 Typical High $123.03 | Professional | None (both parts) | $69.18 | $81.28 | $123.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $45.71 Typical High $61.66 | Professional | 26 · Professional part | $30.90 | $45.71 | $61.66 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $35.48 Typical High $74.13 | Professional | TC · Technical part | $30.20 | $35.48 | $74.13 |
CareSource Setting Facility Modifier None Typical Low $34.67 Median $69.18 Typical High $104.71 | Facility | None | $34.67 | $69.18 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $181.97 Typical High $2,511.89 | Facility | None | $95.50 | $181.97 | $2,511.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $117.49 Typical High $213.80 | Professional | None (both parts) | $79.43 | $117.49 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $39.81 Typical High $63.10 | Professional | 26 · Professional part | $31.62 | $39.81 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $81.28 Typical High $154.88 | Professional | TC · Technical part | $41.69 | $81.28 | $154.88 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $295.12 Median $912.01 Typical High $2,137.96 | Facility | None | $295.12 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $104.71 Median $128.82 Typical High $208.93 | Professional | None (both parts) | $104.71 | $128.82 | $208.93 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $42.66 Typical High $63.10 | Professional | 26 · Professional part | $33.11 | $42.66 | $63.10 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $93.33 Typical High $144.54 | Professional | TC · Technical part | $70.79 | $93.33 | $144.54 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $128.82 Typical High $213.80 | Professional | None (both parts) | $93.33 | $128.82 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $37.15 Typical High $66.07 | Professional | 26 · Professional part | $30.20 | $37.15 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $89.13 Typical High $147.91 | Professional | TC · Technical part | $64.57 | $89.13 | $147.91 |
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 $45.71 Median $48.98 Typical High $54.95 | Professional | 52 · Reduced service | $45.71 | $48.98 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $19.50 Typical High $22.39 | Professional | 53 · Discontinued | $18.20 | $19.50 | $22.39 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $67.61 Median $79.43 Typical High $83.18 | Professional | FX · Film X-ray | $67.61 | $79.43 | $83.18 |
Where Indiana sits
The same service costs 4.6 times more in Alaska than in Texas. 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· 47th of 51
$97.72
AK $324TX $70.79
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.