How much rates vary
Facilitymedian $245 · 10th to 90th $110 to $468Professionalmedian $129 · 10th to 90th $91 to $191
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 $104.71 Median $147.91 Typical High $251.19 | Facility | None | $104.71 | $147.91 | $251.19 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $34.67 Median $44.67 Typical High $61.66 | Facility | 26 · Professional part | $34.67 | $44.67 | $61.66 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $69.18 Median $87.10 Typical High $120.23 | Facility | TC · Technical part | $69.18 | $87.10 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $107.15 Typical High $169.82 | Professional | None (both parts) | $102.33 | $107.15 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $35.48 Typical High $57.54 | Professional | 26 · Professional part | $33.88 | $35.48 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $70.79 Typical High $102.33 | Professional | TC · Technical part | $67.61 | $70.79 | $102.33 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $72.44 Median $85.11 Typical High $85.11 | Professional | None (both parts) | $72.44 | $85.11 | $85.11 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $34.67 Typical High $52.48 | Professional | 26 · Professional part | $28.84 | $34.67 | $52.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $128.82 Median $263.03 Typical High $346.74 | Facility | None | $128.82 | $263.03 | $346.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $107.15 Median $128.82 Typical High $169.82 | Professional | None (both parts) | $107.15 | $128.82 | $169.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $56.23 Typical High $67.61 | Professional | 26 · Professional part | $36.31 | $56.23 | $67.61 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $75.86 Typical High $109.65 | Professional | TC · Technical part | $63.10 | $75.86 | $109.65 |
CareSource Setting Facility Modifier None Typical Low $38.90 Median $72.44 Typical High $112.20 | Facility | None | $38.90 | $72.44 | $112.20 |
CareSource Setting Professional Modifier None (both parts) Typical Low $35.48 Median $69.18 Typical High $120.23 | Professional | None (both parts) | $35.48 | $69.18 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $346.74 Typical High $467.74 | Facility | None | $173.78 | $346.74 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $138.04 Typical High $245.47 | Professional | None (both parts) | $114.82 | $138.04 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $45.71 Typical High $72.44 | Professional | 26 · Professional part | $36.31 | $45.71 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $89.13 Typical High $151.36 | Professional | TC · Technical part | $72.44 | $89.13 | $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 $117.49 Median $144.54 Typical High $213.80 | Professional | None (both parts) | $117.49 | $144.54 | $213.80 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $48.98 Typical High $70.79 | Professional | 26 · Professional part | $39.81 | $48.98 | $70.79 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $95.50 Typical High $144.54 | Professional | TC · Technical part | $79.43 | $95.50 | $144.54 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $128.82 Typical High $223.87 | Professional | None (both parts) | $107.15 | $128.82 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $41.69 Typical High $72.44 | Professional | 26 · Professional part | $35.48 | $41.69 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $85.11 Typical High $151.36 | Professional | TC · Technical part | $70.79 | $85.11 | $151.36 |
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 $50.12 Median $52.48 Typical High $60.26 | Professional | 52 · Reduced service | $50.12 | $52.48 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $20.89 Typical High $23.99 | Professional | 53 · Discontinued | $19.95 | $20.89 | $23.99 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $89.13 Typical High $89.13 | Professional | FX · Film X-ray | $72.44 | $89.13 | $89.13 |
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· 36th of 51
$129
AK $355TX $93.33
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.