How much rates vary
Facilitymedian $251 · 10th to 90th $100 to $468Professionalmedian $110 · 10th to 90th $83 to $166
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 $97.72 Median $128.82 Typical High $251.19 | Facility | None | $97.72 | $128.82 | $251.19 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $24.55 Median $30.90 Typical High $42.66 | Facility | 26 · Professional part | $24.55 | $30.90 | $42.66 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $74.13 Median $89.13 Typical High $128.82 | Facility | TC · Technical part | $74.13 | $89.13 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $102.33 Typical High $162.18 | Professional | None (both parts) | $95.50 | $102.33 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $25.12 Typical High $40.74 | Professional | 26 · Professional part | $23.99 | $25.12 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $75.86 Typical High $109.65 | Professional | TC · Technical part | $70.79 | $75.86 | $109.65 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $69.18 Median $81.28 Typical High $131.83 | Professional | None (both parts) | $69.18 | $81.28 | $131.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $25.12 Typical High $38.02 | Professional | 26 · Professional part | $24.55 | $25.12 | $38.02 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $81.28 Typical High $114.82 | Professional | TC · Technical part | $54.95 | $81.28 | $114.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $109.65 Median $263.03 Typical High $346.74 | Facility | None | $109.65 | $263.03 | $346.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $87.10 Median $109.65 Typical High $147.91 | Professional | None (both parts) | $87.10 | $109.65 | $147.91 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $42.66 Typical High $51.29 | Professional | 26 · Professional part | $25.12 | $42.66 | $51.29 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $66.07 Typical High $93.33 | Professional | TC · Technical part | $56.23 | $66.07 | $93.33 |
CareSource Setting Facility Modifier None Typical Low $27.54 Median $77.62 Typical High $104.71 | Facility | None | $27.54 | $77.62 | $104.71 |
CareSource Setting Professional Modifier None (both parts) Typical Low $25.12 Median $74.13 Typical High $112.20 | Professional | None (both parts) | $25.12 | $74.13 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $346.74 Typical High $467.74 | Facility | None | $199.53 | $346.74 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $114.82 Typical High $204.17 | Professional | None (both parts) | $91.20 | $114.82 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $31.62 Typical High $51.29 | Professional | 26 · Professional part | $25.70 | $31.62 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $83.18 Typical High $151.36 | Professional | TC · Technical part | $60.26 | $83.18 | $151.36 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $245.47 Median $912.01 Typical High $2,137.96 | Facility | None | $245.47 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $107.15 Median $138.04 Typical High $204.17 | Professional | None (both parts) | $107.15 | $138.04 | $204.17 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $33.88 Typical High $50.12 | Professional | 26 · Professional part | $28.18 | $33.88 | $50.12 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $102.33 Typical High $154.88 | Professional | TC · Technical part | $81.28 | $102.33 | $154.88 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $117.49 Typical High $204.17 | Professional | None (both parts) | $91.20 | $117.49 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $28.84 Typical High $51.29 | Professional | 26 · Professional part | $23.99 | $28.84 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $89.13 Typical High $151.36 | Professional | TC · Technical part | $69.18 | $89.13 | $151.36 |
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 $47.86 Median $50.12 Typical High $56.23 | Professional | 52 · Reduced service | $47.86 | $50.12 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.95 Typical High $22.39 | Professional | 53 · Discontinued | $19.05 | $19.95 | $22.39 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $69.18 Median $85.11 Typical High $85.11 | Professional | FX · Film X-ray | $69.18 | $85.11 | $85.11 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 59 · Distinct service | $107.15 | $107.15 | $107.15 |
Where Indiana sits
The same service costs 4.1 times more in Minnesota 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· 43rd of 51
$110
MN $363FL $89.13
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.