How much rates vary
Facilitymedian $155 · 10th to 90th $39 to $1,660Professionalmedian $32 · 10th to 90th $19 to $60
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 $38.90 Median $56.23 Typical High $1,122.02 | Facility | None | $38.90 | $56.23 | $1,122.02 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $13.80 Median $17.38 Typical High $23.99 | Facility | 26 · Professional part | $13.80 | $17.38 | $23.99 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $23.99 Median $32.36 Typical High $44.67 | Facility | TC · Technical part | $23.99 | $32.36 | $44.67 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $38.02 Typical High $50.12 | Professional | None (both parts) | $33.88 | $38.02 | $50.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $13.80 Typical High $18.20 | Professional | 26 · Professional part | $12.59 | $13.80 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $23.99 Typical High $31.62 | Professional | TC · Technical part | $20.89 | $23.99 | $31.62 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $14.13 Typical High $20.89 | Professional | 26 · Professional part | $11.22 | $14.13 | $20.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $24.55 Median $1,122.02 Typical High $1,659.59 | Facility | None | $24.55 | $1,122.02 | $1,659.59 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $19.50 Median $24.55 Typical High $39.81 | Professional | None (both parts) | $19.50 | $24.55 | $39.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.96 Typical High $16.22 | Professional | 26 · Professional part | $8.91 | $10.96 | $16.22 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $11.48 Median $13.49 Typical High $26.30 | Professional | TC · Technical part | $11.48 | $13.49 | $26.30 |
CareSource Setting Facility Modifier None Typical Low $15.49 Median $26.30 Typical High $41.69 | Facility | None | $15.49 | $26.30 | $41.69 |
CareSource Setting Professional Modifier None (both parts) Typical Low $14.13 Median $25.12 Typical High $48.98 | Professional | None (both parts) | $14.13 | $25.12 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $1,202.26 Typical High $1,995.26 | Facility | None | $67.61 | $1,202.26 | $1,995.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $19.95 Median $34.67 Typical High $69.18 | Professional | None (both parts) | $19.95 | $34.67 | $69.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $12.30 Typical High $27.54 | Professional | 26 · Professional part | $8.91 | $12.30 | $27.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.96 Median $20.42 Typical High $47.86 | Professional | TC · Technical part | $10.96 | $20.42 | $47.86 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $120.23 Median $912.01 Typical High $2,137.96 | Facility | None | $120.23 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $31.62 Median $51.29 Typical High $79.43 | Professional | None (both parts) | $31.62 | $51.29 | $79.43 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $18.20 Typical High $26.92 | Professional | 26 · Professional part | $13.80 | $18.20 | $26.92 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $33.11 Typical High $50.12 | Professional | TC · Technical part | $22.91 | $33.11 | $50.12 |
United Setting Professional Modifier None (both parts) Typical Low $18.20 Median $39.81 Typical High $75.86 | Professional | None (both parts) | $18.20 | $39.81 | $75.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $15.49 Typical High $28.18 | Professional | 26 · Professional part | $7.94 | $15.49 | $28.18 |
United Setting Professional Modifier TC · Technical part Typical Low $10.47 Median $26.30 Typical High $48.98 | Professional | TC · Technical part | $10.47 | $26.30 | $48.98 |
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 $16.98 Median $19.05 Typical High $19.95 | Professional | 52 · Reduced service | $16.98 | $19.05 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $7.59 Typical High $8.13 | Professional | 53 · Discontinued | $6.76 | $7.59 | $8.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $26.92 Median $31.62 Typical High $32.36 | Professional | FX · Film X-ray | $26.92 | $31.62 | $32.36 |
Where Indiana sits
The same service costs 9.3 times more in Alaska than in New York. 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· 42nd of 51
$33.88
AK $123NY $13.18
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.