How much rates vary
Facilitymedian $214 · 10th to 90th $76 to $912Professionalmedian $87 · 10th to 90th $62 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 $75.86 Median $91.20 Typical High $251.19 | Facility | None | $75.86 | $91.20 | $251.19 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $30.90 Median $37.15 Typical High $38.90 | Facility | 26 · Professional part | $30.90 | $37.15 | $38.90 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $37.15 Median $54.95 Typical High $74.13 | Facility | TC · Technical part | $37.15 | $54.95 | $74.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $63.10 Typical High $95.50 | Professional | None (both parts) | $60.26 | $63.10 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $25.70 Typical High $37.15 | Professional | 26 · Professional part | $24.55 | $25.70 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $37.15 Typical High $54.95 | Professional | TC · Technical part | $35.48 | $37.15 | $54.95 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $95.50 Median $97.72 Typical High $97.72 | Professional | None (both parts) | $95.50 | $97.72 | $97.72 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $39.81 | Professional | 26 · Professional part | $28.18 | $28.18 | $39.81 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $41.69 Typical High $51.29 | Professional | TC · Technical part | $41.69 | $41.69 | $51.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $85.11 Median $346.74 Typical High $371.54 | Facility | None | $85.11 | $346.74 | $371.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $66.07 Median $102.33 Typical High $138.04 | Professional | None (both parts) | $66.07 | $102.33 | $138.04 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $47.86 Typical High $57.54 | Professional | 26 · Professional part | $26.30 | $47.86 | $57.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $53.70 Typical High $75.86 | Professional | TC · Technical part | $38.90 | $53.70 | $75.86 |
CareSource Setting Facility Modifier None Typical Low $28.18 Median $38.90 Typical High $67.61 | Facility | None | $28.18 | $38.90 | $67.61 |
CareSource Setting Professional Modifier None (both parts) Typical Low $25.70 Median $38.02 Typical High $72.44 | Professional | None (both parts) | $25.70 | $38.02 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $346.74 Typical High $467.74 | Facility | None | $109.65 | $346.74 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $102.33 Typical High $165.96 | Professional | None (both parts) | $66.07 | $102.33 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $33.11 Typical High $53.70 | Professional | 26 · Professional part | $26.92 | $33.11 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $66.07 Typical High $95.50 | Professional | TC · Technical part | $38.02 | $66.07 | $95.50 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $199.53 Median $912.01 Typical High $2,137.96 | Facility | None | $199.53 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $72.44 Median $87.10 Typical High $131.83 | Professional | None (both parts) | $72.44 | $87.10 | $131.83 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $35.48 Typical High $52.48 | Professional | 26 · Professional part | $28.84 | $35.48 | $52.48 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $51.29 Typical High $79.43 | Professional | TC · Technical part | $43.65 | $51.29 | $79.43 |
United Setting Professional Modifier None (both parts) Typical Low $61.66 Median $74.13 Typical High $141.25 | Professional | None (both parts) | $61.66 | $74.13 | $141.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $29.51 Typical High $52.48 | Professional | 26 · Professional part | $24.55 | $29.51 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $45.71 Typical High $89.13 | Professional | TC · Technical part | $35.48 | $45.71 | $89.13 |
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 $30.20 Median $31.62 Typical High $35.48 | Professional | 52 · Reduced service | $30.20 | $31.62 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.59 Typical High $14.13 | Professional | 53 · Discontinued | $12.02 | $12.59 | $14.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $43.65 Median $52.48 Typical High $52.48 | Professional | FX · Film X-ray | $43.65 | $52.48 | $52.48 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 59 · Distinct service | $52.48 | $52.48 | $52.48 |
Where Indiana sits
The same service costs 4.4 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· 26th of 51
$87.10
AK $214UT $48.98
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.