How much rates vary
Facilitymedian $219 · 10th to 90th $95 to $468Professionalmedian $102 · 10th to 90th $65 to $155
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 $89.13 Median $120.23 Typical High $251.19 | Facility | None | $89.13 | $120.23 | $251.19 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $27.54 Median $34.67 Typical High $47.86 | Facility | 26 · Professional part | $27.54 | $34.67 | $47.86 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $61.66 Median $77.62 Typical High $107.15 | Facility | TC · Technical part | $61.66 | $77.62 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $91.20 Typical High $147.91 | Professional | None (both parts) | $87.10 | $91.20 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $28.18 Typical High $45.71 | Professional | 26 · Professional part | $26.92 | $28.18 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $63.10 Typical High $95.50 | Professional | TC · Technical part | $58.88 | $63.10 | $95.50 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $63.10 Median $74.13 Typical High $91.20 | Professional | None (both parts) | $63.10 | $74.13 | $91.20 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $27.54 Typical High $41.69 | Professional | 26 · Professional part | $22.91 | $27.54 | $41.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $112.20 Median $263.03 Typical High $346.74 | Facility | None | $112.20 | $263.03 | $346.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $60.26 Median $102.33 Typical High $134.90 | Professional | None (both parts) | $60.26 | $102.33 | $134.90 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $31.62 Typical High $44.67 | Professional | 26 · Professional part | $26.92 | $31.62 | $44.67 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $70.79 Typical High $95.50 | Professional | TC · Technical part | $58.88 | $70.79 | $95.50 |
CareSource Setting Facility Modifier None Typical Low $30.90 Median $66.07 Typical High $95.50 | Facility | None | $30.90 | $66.07 | $95.50 |
CareSource Setting Professional Modifier None (both parts) Typical Low $28.18 Median $63.10 Typical High $104.71 | Professional | None (both parts) | $28.18 | $63.10 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $346.74 Typical High $467.74 | Facility | None | $169.82 | $346.74 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $114.82 Typical High $199.53 | Professional | None (both parts) | $91.20 | $114.82 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $35.48 Typical High $57.54 | Professional | 26 · Professional part | $28.84 | $35.48 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $74.13 Typical High $131.83 | Professional | TC · Technical part | $57.54 | $74.13 | $131.83 |
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 $97.72 Median $125.89 Typical High $181.97 | Professional | None (both parts) | $97.72 | $125.89 | $181.97 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $38.90 Typical High $56.23 | Professional | 26 · Professional part | $31.62 | $38.90 | $56.23 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $87.10 Typical High $125.89 | Professional | TC · Technical part | $67.61 | $87.10 | $125.89 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $109.65 Typical High $177.83 | Professional | None (both parts) | $81.28 | $109.65 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $33.11 Typical High $57.54 | Professional | 26 · Professional part | $26.92 | $33.11 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $75.86 Typical High $125.89 | Professional | TC · Technical part | $53.70 | $75.86 | $125.89 |
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 $42.66 Median $45.71 Typical High $51.29 | Professional | 52 · Reduced service | $42.66 | $45.71 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $18.20 Typical High $20.42 | Professional | 53 · Discontinued | $16.98 | $18.20 | $20.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $63.10 Median $77.62 Typical High $77.62 | Professional | FX · Film X-ray | $63.10 | $77.62 | $77.62 |
Where Indiana sits
The same service costs 4.2 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· 41st of 51
$102
AK $302UT $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.