How much rates vary
Facilitymedian $832 · 10th to 90th $135 to $6,607Professionalmedian $158 · 10th to 90th $129 to $2,630
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 $295.12 Median $346.74 Typical High $9,120.11 | Facility | None | $295.12 | $346.74 | $9,120.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $537.03 Median $2,630.27 Typical High $2,818.38 | Professional | None (both parts) | $537.03 | $2,630.27 | $2,818.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $79.43 Typical High $109.65 | Professional | 26 · Professional part | $75.86 | $79.43 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $2,630.27 Typical High $2,818.38 | Professional | TC · Technical part | $524.81 | $2,630.27 | $2,818.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $131.83 Median $4,073.80 Typical High $11,220.18 | Facility | None | $131.83 | $4,073.80 | $11,220.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $128.82 Median $158.49 Typical High $251.19 | Professional | None (both parts) | $128.82 | $158.49 | $251.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $107.15 Typical High $151.36 | Professional | 26 · Professional part | $89.13 | $107.15 | $151.36 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $70.79 Typical High $154.88 | Professional | TC · Technical part | $32.36 | $70.79 | $154.88 |
CareSource Setting Facility Modifier None Typical Low $41.69 Median $93.33 Typical High $134.90 | Facility | None | $41.69 | $93.33 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $208.93 Typical High $4,073.80 | Facility | None | $120.23 | $208.93 | $4,073.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $141.25 Typical High $371.54 | Professional | None (both parts) | $123.03 | $141.25 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $95.50 Typical High $158.49 | Professional | 26 · Professional part | $85.11 | $95.50 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $47.86 Typical High $208.93 | Professional | TC · Technical part | $39.81 | $47.86 | $208.93 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $676.08 Median $912.01 Typical High $2,137.96 | Facility | None | $676.08 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $151.36 Median $199.53 Typical High $467.74 | Professional | None (both parts) | $151.36 | $199.53 | $467.74 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $123.03 Typical High $169.82 | Professional | 26 · Professional part | $97.72 | $123.03 | $169.82 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $162.18 Typical High $288.40 | Professional | TC · Technical part | $52.48 | $162.18 | $288.40 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $1,584.89 Typical High $3,981.07 | Professional | None (both parts) | $125.89 | $1,584.89 | $3,981.07 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $95.50 Typical High $158.49 | Professional | 26 · Professional part | $79.43 | $95.50 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $1,513.56 Typical High $3,890.45 | Professional | TC · Technical part | $38.90 | $1,513.56 | $3,890.45 |
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 $1,202.26 Median $1,318.26 Typical High $1,412.54 | Professional | 52 · Reduced service | $1,202.26 | $1,318.26 | $1,412.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $478.63 Median $524.81 Typical High $575.44 | Professional | 53 · Discontinued | $478.63 | $524.81 | $575.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $1,905.46 Median $2,238.72 Typical High $2,290.87 | Professional | FX · Film X-ray | $1,905.46 | $2,238.72 | $2,290.87 |
Where Indiana sits
The same service costs 26.3 times more in Colorado than in New Mexico. 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· 49th of 51
$158
CO $3,467NM $132
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.