How much rates vary
Facilitymedian $316 · 10th to 90th $155 to $1,660Professionalmedian $174 · 10th to 90th $105 to $263
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 $112.20 Median $645.65 Typical High $2,041.74 | Facility | None | $112.20 | $645.65 | $2,041.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $112.20 Typical High $144.54 | Professional | None (both parts) | $109.65 | $112.20 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $56.23 Typical High $69.18 | Professional | 26 · Professional part | $54.95 | $56.23 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $56.23 Typical High $70.79 | Professional | TC · Technical part | $54.95 | $56.23 | $70.79 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 26 · Professional part | $77.62 | $77.62 | $77.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $154.88 Median $199.53 Typical High $398.11 | Facility | None | $154.88 | $199.53 | $398.11 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $104.71 Median $177.83 Typical High $251.19 | Professional | None (both parts) | $104.71 | $177.83 | $251.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $77.62 Typical High $104.71 | Professional | 26 · Professional part | $52.48 | $77.62 | $104.71 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $100.00 Typical High $147.91 | Professional | TC · Technical part | $53.70 | $100.00 | $147.91 |
CareSource Setting Facility Modifier None Typical Low $52.48 Median $56.23 Typical High $363.08 | Facility | None | $52.48 | $56.23 | $363.08 |
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 $117.49 Median $199.53 Typical High $302.00 | Professional | None (both parts) | $117.49 | $199.53 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $69.18 Typical High $109.65 | Professional | 26 · Professional part | $60.26 | $69.18 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $112.20 Typical High $199.53 | Professional | TC · Technical part | $63.10 | $112.20 | $199.53 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $316.23 Median $912.01 Typical High $2,137.96 | Facility | None | $316.23 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $114.82 Median $141.25 Typical High $204.17 | Professional | None (both parts) | $114.82 | $141.25 | $204.17 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $69.18 Typical High $100.00 | Professional | 26 · Professional part | $57.54 | $69.18 | $100.00 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $69.18 Typical High $104.71 | Professional | TC · Technical part | $57.54 | $69.18 | $104.71 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $144.54 Typical High $263.03 | Professional | None (both parts) | $107.15 | $144.54 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $63.10 Typical High $104.71 | Professional | 26 · Professional part | $51.29 | $63.10 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $75.86 Typical High $151.36 | Professional | TC · Technical part | $54.95 | $75.86 | $151.36 |
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 $52.48 Median $56.23 Typical High $69.18 | Professional | 52 · Reduced service | $52.48 | $56.23 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $22.39 Typical High $27.54 | Professional | 53 · Discontinued | $20.89 | $22.39 | $27.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $95.50 Typical High $97.72 | Professional | FX · Film X-ray | $83.18 | $95.50 | $97.72 |
Where Indiana sits
The same service costs 5.6 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· 13th of 51
$178
AK $447TX $79.43
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.