How much rates vary
Facilitymedian $229 · 10th to 90th $81 to $468Professionalmedian $91 · 10th to 90th $65 to $138
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 $74.13 Median $107.15 Typical High $251.19 | Facility | None | $74.13 | $107.15 | $251.19 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $28.84 Median $36.31 Typical High $50.12 | Facility | 26 · Professional part | $28.84 | $36.31 | $50.12 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $45.71 Median $60.26 Typical High $81.28 | Facility | TC · Technical part | $45.71 | $60.26 | $81.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $75.86 Typical High $128.82 | Professional | None (both parts) | $72.44 | $75.86 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $29.51 Typical High $48.98 | Professional | 26 · Professional part | $27.54 | $29.51 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $45.71 Typical High $70.79 | Professional | TC · Technical part | $43.65 | $45.71 | $70.79 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $48.98 Median $61.66 Typical High $95.50 | Professional | None (both parts) | $48.98 | $61.66 | $95.50 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $29.51 Typical High $38.02 | Professional | 26 · Professional part | $23.44 | $29.51 | $38.02 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $50.12 Typical High $60.26 | Professional | TC · Technical part | $50.12 | $50.12 | $60.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $93.33 Median $263.03 Typical High $346.74 | Facility | None | $93.33 | $263.03 | $346.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $75.86 Median $93.33 Typical High $128.82 | Professional | None (both parts) | $75.86 | $93.33 | $128.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $42.66 Typical High $57.54 | Professional | 26 · Professional part | $29.51 | $42.66 | $57.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $51.29 Typical High $77.62 | Professional | TC · Technical part | $43.65 | $51.29 | $77.62 |
CareSource Setting Facility Modifier None Typical Low $31.62 Median $46.77 Typical High $79.43 | Facility | None | $31.62 | $46.77 | $79.43 |
CareSource Setting Professional Modifier None (both parts) Typical Low $28.84 Median $45.71 Typical High $85.11 | Professional | None (both parts) | $28.84 | $45.71 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $346.74 Typical High $467.74 | Facility | None | $123.03 | $346.74 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $100.00 Typical High $169.82 | Professional | None (both parts) | $79.43 | $100.00 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $37.15 Typical High $58.88 | Professional | 26 · Professional part | $30.20 | $37.15 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $61.66 Typical High $100.00 | Professional | TC · Technical part | $48.98 | $61.66 | $100.00 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $229.09 Median $912.01 Typical High $2,137.96 | Facility | None | $229.09 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $83.18 Median $102.33 Typical High $151.36 | Professional | None (both parts) | $83.18 | $102.33 | $151.36 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.90 Typical High $57.54 | Professional | 26 · Professional part | $32.36 | $38.90 | $57.54 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $63.10 Typical High $93.33 | Professional | TC · Technical part | $51.29 | $63.10 | $93.33 |
United Setting Professional Modifier None (both parts) Typical Low $72.44 Median $87.10 Typical High $154.88 | Professional | None (both parts) | $72.44 | $87.10 | $154.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $33.11 Typical High $58.88 | Professional | 26 · Professional part | $27.54 | $33.11 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $53.70 Typical High $95.50 | Professional | TC · Technical part | $44.67 | $53.70 | $95.50 |
5 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 $34.67 Median $37.15 Typical High $41.69 | Professional | 52 · Reduced service | $34.67 | $37.15 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $14.79 Typical High $16.60 | Professional | 53 · Discontinued | $13.80 | $14.79 | $16.60 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $51.29 Median $63.10 Typical High $63.10 | Professional | FX · Film X-ray | $51.29 | $63.10 | $63.10 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 59 · Distinct service | $81.28 | $81.28 | $81.28 |
Ambetter Setting Professional Modifier U2 · State-defined Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | U2 · State-defined | $61.66 | $61.66 | $61.66 |
Where Indiana sits
The same service costs 3.6 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· 35th of 51
$91.20
AK $245TX $67.61
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.