How much rates vary
Facilitymedian $316 · 10th to 90th $55 to $912Professionalmedian $87 · 10th to 90th $43 to $138
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 $43.65 Median $251.19 Typical High $316.23 | Facility | None | $43.65 | $251.19 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $43.65 Typical High $83.18 | Professional | None (both parts) | $40.74 | $43.65 | $83.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $28.18 Typical High $45.71 | Professional | 26 · Professional part | $26.92 | $28.18 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $15.49 Typical High $23.99 | Professional | TC · Technical part | $14.79 | $15.49 | $23.99 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $37.15 Median $38.90 Typical High $69.18 | Professional | None (both parts) | $37.15 | $38.90 | $69.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $87.10 Median $346.74 Typical High $346.74 | Facility | None | $87.10 | $346.74 | $346.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $46.77 Median $102.33 Typical High $125.89 | Professional | None (both parts) | $46.77 | $102.33 | $125.89 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $45.71 Typical High $57.54 | Professional | 26 · Professional part | $29.51 | $45.71 | $57.54 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $69.18 Median $151.36 Typical High $199.53 | Professional | 50 · Both sides | $69.18 | $151.36 | $199.53 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $56.23 Typical High $74.13 | Professional | TC · Technical part | $16.98 | $56.23 | $74.13 |
CareSource Setting Professional Modifier None (both parts) Typical Low $15.85 Median $28.18 Typical High $48.98 | Professional | None (both parts) | $15.85 | $28.18 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $346.74 Typical High $467.74 | Facility | None | $54.95 | $346.74 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $112.20 Typical High $186.21 | Professional | None (both parts) | $50.12 | $112.20 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $39.81 Typical High $70.79 | Professional | 26 · Professional part | $29.51 | $39.81 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $42.66 Typical High $100.00 | Professional | TC · Technical part | $18.62 | $42.66 | $100.00 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $141.25 Median $912.01 Typical High $2,137.96 | Facility | None | $141.25 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $50.12 Median $60.26 Typical High $102.33 | Professional | None (both parts) | $50.12 | $60.26 | $102.33 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $38.90 Typical High $64.57 | Professional | 26 · Professional part | $31.62 | $38.90 | $64.57 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $21.88 Typical High $41.69 | Professional | TC · Technical part | $18.20 | $21.88 | $41.69 |
United Setting Professional Modifier None (both parts) Typical Low $46.77 Median $77.62 Typical High $141.25 | Professional | None (both parts) | $46.77 | $77.62 | $141.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $45.71 Typical High $64.57 | Professional | 26 · Professional part | $28.84 | $45.71 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $31.62 Typical High $67.61 | Professional | TC · Technical part | $17.78 | $31.62 | $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 $20.89 Median $21.88 Typical High $27.54 | Professional | 52 · Reduced service | $20.89 | $21.88 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.71 Typical High $10.96 | Professional | 53 · Discontinued | $8.32 | $8.71 | $10.96 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $30.90 Median $36.31 Typical High $36.31 | Professional | FX · Film X-ray | $30.90 | $36.31 | $36.31 |
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· 16th of 51
$87.10
AK $151TX $39.81
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.