How much rates vary
Facilitymedian $56 · 10th to 90th $9 to $912Professionalmedian $13 · 10th to 90th $9 to $19
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 $4.17 Median $56.23 Typical High $85.11 | Facility | None | $4.17 | $56.23 | $85.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $10.00 Median $10.23 Typical High $15.14 | Professional | None (both parts) | $10.00 | $10.23 | $15.14 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $7.08 Typical High $10.23 | Professional | 26 · Professional part | $6.76 | $7.08 | $10.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.09 Median $3.09 Typical High $4.47 | Professional | TC · Technical part | $3.09 | $3.09 | $4.47 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $8.71 Median $9.33 Typical High $13.49 | Professional | None (both parts) | $8.71 | $9.33 | $13.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.07 Median $346.74 Typical High $346.74 | Facility | None | $4.07 | $346.74 | $346.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $10.96 Median $14.45 Typical High $19.50 | Professional | None (both parts) | $10.96 | $14.45 | $19.50 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $12.02 Typical High $14.45 | Professional | 26 · Professional part | $7.24 | $12.02 | $14.45 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $2.19 Median $2.57 Typical High $3.98 | Professional | TC · Technical part | $2.19 | $2.57 | $3.98 |
CareSource Setting Facility Modifier None Typical Low $3.47 Median $7.76 Typical High $11.22 | Facility | None | $3.47 | $7.76 | $11.22 |
CareSource Setting Professional Modifier None (both parts) Typical Low $3.16 Median $7.24 Typical High $12.30 | Professional | None (both parts) | $3.16 | $7.24 | $12.30 |
Cigna Setting Facility Modifier None Typical Low $11.48 Median $70.79 Typical High $346.74 | Facility | None | $11.48 | $70.79 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $11.22 Median $13.80 Typical High $25.12 | Professional | None (both parts) | $11.22 | $13.80 | $25.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $10.23 Typical High $14.45 | Professional | 26 · Professional part | $7.59 | $10.23 | $14.45 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $2.63 Median $3.63 Typical High $7.24 | Professional | TC · Technical part | $2.63 | $3.63 | $7.24 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $33.11 Median $912.01 Typical High $2,137.96 | Facility | None | $33.11 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $11.48 Median $14.13 Typical High $21.88 | Professional | None (both parts) | $11.48 | $14.13 | $21.88 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $9.77 Typical High $14.79 | Professional | 26 · Professional part | $8.13 | $9.77 | $14.79 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $3.55 Median $4.47 Typical High $7.08 | Professional | TC · Technical part | $3.55 | $4.47 | $7.08 |
United Setting Professional Modifier None (both parts) Typical Low $10.72 Median $13.49 Typical High $21.88 | Professional | None (both parts) | $10.72 | $13.49 | $21.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $9.55 Typical High $14.45 | Professional | 26 · Professional part | $7.24 | $9.55 | $14.45 |
United Setting Professional Modifier TC · Technical part Typical Low $3.02 Median $4.07 Typical High $7.08 | Professional | TC · Technical part | $3.02 | $4.07 | $7.08 |
4 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 $5.01 Median $5.13 Typical High $5.89 | Professional | 52 · Reduced service | $5.01 | $5.13 | $5.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $2.04 Typical High $2.34 | Professional | 53 · Discontinued | $2.00 | $2.04 | $2.34 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $7.41 Median $8.91 Typical High $8.91 | Professional | FX · Film X-ray | $7.41 | $8.91 | $8.91 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | 59 · Distinct service | $8.71 | $8.71 | $8.71 |
Where Indiana sits
The same service costs 3.9 times more in Alaska than in Florida. 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· 33rd of 51
$13.49
AK $35.48FL $9.12
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.