How much rates vary
Facilitymedian $200 · 10th to 90th $93 to $955Professionalmedian $112 · 10th to 90th $87 to $162
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $87.10 Median $89.13 Typical High $134.90 | Facility | None | $87.10 | $89.13 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $87.10 Typical High $100.00 | Professional | None (both parts) | $83.18 | $87.10 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $34.67 Typical High $36.31 | Professional | 26 · Professional part | $31.62 | $34.67 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $52.48 Typical High $60.26 | Professional | TC · Technical part | $48.98 | $52.48 | $60.26 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 26 · Professional part | $30.90 | $30.90 | $30.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $109.65 Median $199.53 Typical High $331.13 | Facility | None | $109.65 | $199.53 | $331.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $87.10 Median $114.82 Typical High $154.88 | Professional | None (both parts) | $87.10 | $114.82 | $154.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $46.77 Typical High $54.95 | Professional | 26 · Professional part | $35.48 | $46.77 | $54.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $69.18 Typical High $93.33 | Professional | TC · Technical part | $52.48 | $69.18 | $93.33 |
CareSource Setting Facility Modifier None Typical Low $38.90 Median $53.70 Typical High $229.09 | Facility | None | $38.90 | $53.70 | $229.09 |
CareSource Setting Professional Modifier None (both parts) Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None (both parts) | $32.36 | $32.36 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $123.03 Typical High $213.80 | Professional | None (both parts) | $93.33 | $123.03 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $40.74 Typical High $74.13 | Professional | 26 · Professional part | $36.31 | $40.74 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $77.62 Typical High $131.83 | Professional | TC · Technical part | $56.23 | $77.62 | $131.83 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $263.03 Median $912.01 Typical High $2,137.96 | Facility | None | $263.03 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $97.72 Median $120.23 Typical High $181.97 | Professional | None (both parts) | $97.72 | $120.23 | $181.97 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $47.86 Typical High $67.61 | Professional | 26 · Professional part | $39.81 | $47.86 | $67.61 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $70.79 Typical High $112.20 | Professional | TC · Technical part | $60.26 | $70.79 | $112.20 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $104.71 Typical High $154.88 | Professional | None (both parts) | $83.18 | $104.71 | $154.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $35.48 Typical High $54.95 | Professional | 26 · Professional part | $29.51 | $35.48 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $67.61 Typical High $102.33 | Professional | TC · Technical part | $53.70 | $67.61 | $102.33 |
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 $40.74 Median $43.65 Typical High $45.71 | Professional | 52 · Reduced service | $40.74 | $43.65 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $17.38 Typical High $18.20 | Professional | 53 · Discontinued | $16.22 | $17.38 | $18.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $60.26 Median $72.44 Typical High $72.44 | Professional | FX · Film X-ray | $60.26 | $72.44 | $72.44 |
Where Indiana sits
The same service costs 4.5 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· 28th of 51
$112
AK $295TX $66.07
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.