How much rates vary
Facilitymedian $145 · 10th to 90th $59 to $955Professionalmedian $69 · 10th to 90th $42 to $110
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 $41.69 Median $251.19 Typical High $316.23 | Facility | None | $41.69 | $251.19 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $41.69 Typical High $53.70 | Professional | None (both parts) | $39.81 | $41.69 | $53.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $20.42 Typical High $25.70 | Professional | 26 · Professional part | $19.50 | $20.42 | $25.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $21.38 Typical High $25.12 | Professional | TC · Technical part | $20.42 | $21.38 | $25.12 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None (both parts) | $32.36 | $32.36 | $32.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $64.57 Median $169.82 Typical High $426.58 | Facility | None | $64.57 | $169.82 | $426.58 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $44.67 Median $79.43 Typical High $104.71 | Professional | None (both parts) | $44.67 | $79.43 | $104.71 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $38.02 Typical High $46.77 | Professional | 26 · Professional part | $21.38 | $38.02 | $46.77 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $40.74 Typical High $53.70 | Professional | TC · Technical part | $23.44 | $40.74 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $75.86 Typical High $467.74 | Facility | None | $47.86 | $75.86 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $83.18 Typical High $123.03 | Professional | None (both parts) | $47.86 | $83.18 | $123.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $30.90 Typical High $44.67 | Professional | 26 · Professional part | $21.38 | $30.90 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $46.77 Typical High $83.18 | Professional | TC · Technical part | $23.99 | $46.77 | $83.18 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $134.90 Median $912.01 Typical High $2,137.96 | Facility | None | $134.90 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $47.86 Median $58.88 Typical High $95.50 | Professional | None (both parts) | $47.86 | $58.88 | $95.50 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $28.84 Typical High $43.65 | Professional | 26 · Professional part | $23.44 | $28.84 | $43.65 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $30.20 Typical High $48.98 | Professional | TC · Technical part | $25.12 | $30.20 | $48.98 |
United Setting Professional Modifier None (both parts) Typical Low $43.65 Median $63.10 Typical High $100.00 | Professional | None (both parts) | $43.65 | $63.10 | $100.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $28.18 Typical High $44.67 | Professional | 26 · Professional part | $20.42 | $28.18 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $35.48 Typical High $56.23 | Professional | TC · Technical part | $22.39 | $35.48 | $56.23 |
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 $19.95 Median $20.89 Typical High $24.55 | Professional | 52 · Reduced service | $19.95 | $20.89 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $8.32 Typical High $9.77 | Professional | 53 · Discontinued | $7.94 | $8.32 | $9.77 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $29.51 Median $35.48 Typical High $35.48 | Professional | FX · Film X-ray | $29.51 | $35.48 | $35.48 |
Where Indiana sits
The same service costs 4.5 times more in Alaska than in Utah. 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· 27th of 51
$69.18
AK $141UT $31.62
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.