How much rates vary
Facilitymedian $251 · 10th to 90th $102 to $468Professionalmedian $100 · 10th to 90th $69 to $158
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 $102.33 Median $138.04 Typical High $251.19 | Facility | None | $102.33 | $138.04 | $251.19 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $38.02 Median $47.86 Typical High $58.88 | Facility | 26 · Professional part | $38.02 | $47.86 | $58.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $63.10 Median $79.43 Typical High $109.65 | Facility | TC · Technical part | $63.10 | $79.43 | $109.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $102.33 Typical High $162.18 | Professional | None (both parts) | $93.33 | $102.33 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $38.02 Typical High $60.26 | Professional | 26 · Professional part | $36.31 | $38.02 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $61.66 Typical High $95.50 | Professional | TC · Technical part | $57.54 | $61.66 | $95.50 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $66.07 Median $112.20 Typical High $134.90 | Professional | None (both parts) | $66.07 | $112.20 | $134.90 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $41.69 Typical High $51.29 | Professional | 26 · Professional part | $38.90 | $41.69 | $51.29 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $69.18 Typical High $83.18 | Professional | TC · Technical part | $52.48 | $69.18 | $83.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $81.28 Median $263.03 Typical High $346.74 | Facility | None | $81.28 | $263.03 | $346.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $69.18 Median $81.28 Typical High $114.82 | Professional | None (both parts) | $69.18 | $81.28 | $114.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.02 Typical High $51.29 | Professional | 26 · Professional part | $32.36 | $38.02 | $51.29 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $43.65 Typical High $67.61 | Professional | TC · Technical part | $37.15 | $43.65 | $67.61 |
CareSource Setting Facility Modifier None Typical Low $41.69 Median $64.57 Typical High $104.71 | Facility | None | $41.69 | $64.57 | $104.71 |
CareSource Setting Professional Modifier None (both parts) Typical Low $38.02 Median $61.66 Typical High $112.20 | Professional | None (both parts) | $38.02 | $61.66 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $346.74 Typical High $467.74 | Facility | None | $165.96 | $346.74 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $114.82 Typical High $204.17 | Professional | None (both parts) | $93.33 | $114.82 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $47.86 Typical High $77.62 | Professional | 26 · Professional part | $38.90 | $47.86 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $69.18 Typical High $123.03 | Professional | TC · Technical part | $47.86 | $69.18 | $123.03 |
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 $109.65 Median $138.04 Typical High $204.17 | Professional | None (both parts) | $109.65 | $138.04 | $204.17 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $51.29 Typical High $77.62 | Professional | 26 · Professional part | $41.69 | $51.29 | $77.62 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $85.11 Typical High $125.89 | Professional | TC · Technical part | $69.18 | $85.11 | $125.89 |
United 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 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $44.67 Typical High $77.62 | Professional | 26 · Professional part | $36.31 | $44.67 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $70.79 Typical High $125.89 | Professional | TC · Technical part | $54.95 | $70.79 | $125.89 |
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 $46.77 Median $50.12 Typical High $56.23 | Professional | 52 · Reduced service | $46.77 | $50.12 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $19.95 Typical High $22.39 | Professional | 53 · Discontinued | $18.62 | $19.95 | $22.39 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $69.18 Median $83.18 Typical High $83.18 | Professional | FX · Film X-ray | $69.18 | $83.18 | $83.18 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $83.18 Median $112.20 Typical High $112.20 | Professional | 59 · Distinct service | $83.18 | $112.20 | $112.20 |
Where Indiana sits
The same service costs 4.6 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· 47th of 51
$100
AK $331UT $72.44
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.