How much rates vary
Facilitymedian $347 · 10th to 90th $110 to $955Professionalmedian $107 · 10th to 90th $91 to $174
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 $165.96 Typical High $707.95 | Facility | None | $104.71 | $165.96 | $707.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $107.15 Typical High $169.82 | Professional | None (both parts) | $100.00 | $107.15 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $32.36 Typical High $48.98 | Professional | 26 · Professional part | $30.90 | $32.36 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $74.13 Typical High $107.15 | Professional | TC · Technical part | $69.18 | $74.13 | $107.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $87.10 Median $109.65 Typical High $131.83 | Professional | None (both parts) | $87.10 | $109.65 | $131.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $114.82 Median $346.74 Typical High $851.14 | Facility | None | $114.82 | $346.74 | $851.14 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $91.20 Median $107.15 Typical High $144.54 | Professional | None (both parts) | $91.20 | $107.15 | $144.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $34.67 Typical High $50.12 | Professional | 26 · Professional part | $29.51 | $34.67 | $50.12 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $72.44 Typical High $97.72 | Professional | TC · Technical part | $61.66 | $72.44 | $97.72 |
CareSource Setting Facility Modifier None Typical Low $35.48 Median $75.86 Typical High $109.65 | Facility | None | $35.48 | $75.86 | $109.65 |
CareSource Setting Professional Modifier None (both parts) Typical Low $31.62 Median $72.44 Typical High $120.23 | Professional | None (both parts) | $31.62 | $72.44 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $346.74 Typical High $954.99 | Facility | None | $194.98 | $346.74 | $954.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $125.89 Typical High $218.78 | Professional | None (both parts) | $100.00 | $125.89 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $40.74 Typical High $66.07 | Professional | 26 · Professional part | $33.11 | $40.74 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $83.18 Typical High $141.25 | Professional | TC · Technical part | $63.10 | $83.18 | $141.25 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $331.13 Median $912.01 Typical High $2,137.96 | Facility | None | $331.13 | $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 $35.48 Median $43.65 Typical High $64.57 | Professional | 26 · Professional part | $35.48 | $43.65 | $64.57 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $100.00 Typical High $147.91 | Professional | TC · Technical part | $81.28 | $100.00 | $147.91 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $120.23 Typical High $213.80 | Professional | None (both parts) | $97.72 | $120.23 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $37.15 Typical High $66.07 | Professional | 26 · Professional part | $30.90 | $37.15 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $85.11 Typical High $147.91 | Professional | TC · Technical part | $66.07 | $85.11 | $147.91 |
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 $48.98 Median $52.48 Typical High $58.88 | Professional | 52 · Reduced service | $48.98 | $52.48 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $20.89 Typical High $23.44 | Professional | 53 · Discontinued | $19.95 | $20.89 | $23.44 |
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 3.9 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· 46th of 51
$110
AK $347TX $89.13
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.