How much rates vary
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 $117.49 Typical High $316.23 | Facility | None | $97.72 | $117.49 | $316.23 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $48.98 Median $64.57 Typical High $89.13 | Facility | TC · Technical part | $48.98 | $64.57 | $89.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $81.28 Typical High $117.49 | Professional | None (both parts) | $77.62 | $81.28 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $30.90 Typical High $44.67 | Professional | 26 · Professional part | $29.51 | $30.90 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $48.98 Typical High $66.07 | Professional | TC · Technical part | $47.86 | $48.98 | $66.07 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None (both parts) | $81.28 | $81.28 | $81.28 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | 26 · Professional part | $33.88 | $33.88 | $33.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $102.33 Median $323.59 Typical High $354.81 | Facility | None | $102.33 | $323.59 | $354.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $83.18 Median $102.33 Typical High $144.54 | Professional | None (both parts) | $83.18 | $102.33 | $144.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $45.71 Typical High $61.66 | Professional | 26 · Professional part | $32.36 | $45.71 | $61.66 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $57.54 Typical High $87.10 | Professional | TC · Technical part | $48.98 | $57.54 | $87.10 |
CareSource Setting Facility Modifier None Typical Low $33.88 Median $51.29 Typical High $85.11 | Facility | None | $33.88 | $51.29 | $85.11 |
CareSource Setting Professional Modifier None (both parts) Typical Low $30.90 Median $50.12 Typical High $91.20 | Professional | None (both parts) | $30.90 | $50.12 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $346.74 Typical High $467.74 | Facility | None | $131.83 | $346.74 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $112.20 Typical High $186.21 | Professional | None (both parts) | $85.11 | $112.20 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $39.81 Typical High $64.57 | Professional | 26 · Professional part | $32.36 | $39.81 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $69.18 Typical High $107.15 | Professional | TC · Technical part | $53.70 | $69.18 | $107.15 |
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 $91.20 Median $109.65 Typical High $165.96 | Professional | None (both parts) | $91.20 | $109.65 | $165.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $42.66 Typical High $61.66 | Professional | 26 · Professional part | $35.48 | $42.66 | $61.66 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $67.61 Typical High $104.71 | Professional | TC · Technical part | $56.23 | $67.61 | $104.71 |
United Setting Professional Modifier None (both parts) Typical Low $77.62 Median $97.72 Typical High $169.82 | Professional | None (both parts) | $77.62 | $97.72 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $36.31 Typical High $64.57 | Professional | 26 · Professional part | $30.20 | $36.31 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $60.26 Typical High $102.33 | Professional | TC · Technical part | $47.86 | $60.26 | $102.33 |
2 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 FX · Film X-ray Typical Low $56.23 Median $67.61 Typical High $67.61 | Professional | FX · Film X-ray | $56.23 | $67.61 | $67.61 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $89.13 Median $89.13 Typical High $109.65 | Professional | 59 · Distinct service | $89.13 | $89.13 | $109.65 |
Where Indiana sits
The same service costs 3.7 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· 33rd of 51
$102
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.