How much rates vary
Facilitymedian $170 · 10th to 90th $59 to $955Professionalmedian $98 · 10th to 90th $52 to $145
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 $52.48 Median $251.19 Typical High $316.23 | Facility | None | $52.48 | $251.19 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $52.48 Typical High $67.61 | Professional | None (both parts) | $48.98 | $52.48 | $67.61 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $33.11 Typical High $41.69 | Professional | 26 · Professional part | $30.90 | $33.11 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $19.05 Typical High $22.91 | Professional | TC · Technical part | $18.20 | $19.05 | $22.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $72.44 Median $107.15 Typical High $229.09 | Facility | None | $72.44 | $107.15 | $229.09 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $54.95 Median $107.15 Typical High $141.25 | Professional | None (both parts) | $54.95 | $107.15 | $141.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $60.26 Typical High $75.86 | Professional | 26 · Professional part | $33.88 | $60.26 | $75.86 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $81.28 Median $158.49 Typical High $208.93 | Professional | 50 · Both sides | $81.28 | $158.49 | $208.93 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $46.77 Typical High $61.66 | Professional | TC · Technical part | $20.42 | $46.77 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $97.72 Typical High $467.74 | Facility | None | $58.88 | $97.72 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $117.49 Typical High $169.82 | Professional | None (both parts) | $58.88 | $117.49 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $52.48 Typical High $74.13 | Professional | 26 · Professional part | $33.88 | $52.48 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $50.12 Typical High $95.50 | Professional | TC · Technical part | $22.39 | $50.12 | $95.50 |
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 $72.44 Typical High $114.82 | Professional | None (both parts) | $58.88 | $72.44 | $114.82 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $44.67 Typical High $70.79 | Professional | 26 · Professional part | $37.15 | $44.67 | $70.79 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $26.30 Typical High $50.12 | Professional | TC · Technical part | $22.39 | $26.30 | $50.12 |
United Setting Professional Modifier None (both parts) Typical Low $54.95 Median $89.13 Typical High $138.04 | Professional | None (both parts) | $54.95 | $89.13 | $138.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $46.77 Typical High $69.18 | Professional | 26 · Professional part | $32.36 | $46.77 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $38.02 Typical High $74.13 | Professional | TC · Technical part | $21.88 | $38.02 | $74.13 |
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 $24.55 Median $25.70 Typical High $30.90 | Professional | 52 · Reduced service | $24.55 | $25.70 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $10.47 Typical High $12.30 | Professional | 53 · Discontinued | $9.77 | $10.47 | $12.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $36.31 Median $42.66 Typical High $43.65 | Professional | FX · Film X-ray | $36.31 | $42.66 | $43.65 |
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· 17th of 51
$97.72
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.