How much rates vary
Facilitymedian $182 · 10th to 90th $65 to $1,585Professionalmedian $71 · 10th to 90th $54 to $107
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 $56.23 Median $75.86 Typical High $1,122.02 | Facility | None | $56.23 | $75.86 | $1,122.02 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $23.44 Median $31.62 Typical High $38.90 | Facility | 26 · Professional part | $23.44 | $31.62 | $38.90 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $31.62 Median $44.67 Typical High $60.26 | Facility | TC · Technical part | $31.62 | $44.67 | $60.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $53.70 Typical High $70.79 | Professional | None (both parts) | $51.29 | $53.70 | $70.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $22.91 Typical High $31.62 | Professional | 26 · Professional part | $21.38 | $22.91 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $31.62 Typical High $39.81 | Professional | TC · Technical part | $28.84 | $31.62 | $39.81 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | 26 · Professional part | $22.91 | $22.91 | $22.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $56.23 Median $1,202.26 Typical High $1,949.84 | Facility | None | $56.23 | $1,202.26 | $1,949.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $54.95 Median $70.79 Typical High $100.00 | Professional | None (both parts) | $54.95 | $70.79 | $100.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $35.48 Typical High $46.77 | Professional | 26 · Professional part | $22.91 | $35.48 | $46.77 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $35.48 Typical High $54.95 | Professional | TC · Technical part | $28.18 | $35.48 | $54.95 |
CareSource Setting Facility Modifier None Typical Low $25.70 Median $33.11 Typical High $58.88 | Facility | None | $25.70 | $33.11 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $954.99 Typical High $1,202.26 | Facility | None | $87.10 | $954.99 | $1,202.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $75.86 Typical High $134.90 | Professional | None (both parts) | $54.95 | $75.86 | $134.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $30.20 Typical High $45.71 | Professional | 26 · Professional part | $23.44 | $30.20 | $45.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $44.67 Typical High $77.62 | Professional | TC · Technical part | $30.90 | $44.67 | $77.62 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $165.96 Median $912.01 Typical High $2,137.96 | Facility | None | $165.96 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $58.88 Median $74.13 Typical High $112.20 | Professional | None (both parts) | $58.88 | $74.13 | $112.20 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $31.62 Typical High $47.86 | Professional | 26 · Professional part | $25.70 | $31.62 | $47.86 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $42.66 Typical High $66.07 | Professional | TC · Technical part | $35.48 | $42.66 | $66.07 |
United Setting Professional Modifier None (both parts) Typical Low $51.29 Median $66.07 Typical High $114.82 | Professional | None (both parts) | $51.29 | $66.07 | $114.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $28.18 Typical High $47.86 | Professional | 26 · Professional part | $22.91 | $28.18 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $36.31 Typical High $67.61 | Professional | TC · Technical part | $28.18 | $36.31 | $67.61 |
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 $25.12 Median $26.92 Typical High $28.84 | Professional | 52 · Reduced service | $25.12 | $26.92 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.96 Typical High $11.48 | Professional | 53 · Discontinued | $10.23 | $10.96 | $11.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $38.02 Median $44.67 Typical High $45.71 | Professional | FX · Film X-ray | $38.02 | $44.67 | $45.71 |
Where Indiana sits
The same service costs 3.8 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· 30th of 51
$70.79
AK $178TX $46.77
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.