How much rates vary
Facilitymedian $275 · 10th to 90th $93 to $912Professionalmedian $91 · 10th to 90th $76 to $155
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $91.20 Median $154.88 Typical High $257.04 | Facility | None | $91.20 | $154.88 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $91.20 Typical High $112.20 | Professional | None (both parts) | $85.11 | $91.20 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $27.54 Typical High $31.62 | Professional | 26 · Professional part | $26.30 | $27.54 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $63.10 Typical High $70.79 | Professional | TC · Technical part | $58.88 | $63.10 | $70.79 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | 26 · Professional part | $38.02 | $38.02 | $38.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $89.13 Median $346.74 Typical High $346.74 | Facility | None | $89.13 | $346.74 | $346.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $75.86 Median $89.13 Typical High $125.89 | Professional | None (both parts) | $75.86 | $89.13 | $125.89 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.20 Typical High $42.66 | Professional | 26 · Professional part | $25.70 | $30.20 | $42.66 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $58.88 Typical High $85.11 | Professional | TC · Technical part | $50.12 | $58.88 | $85.11 |
CareSource Setting Facility Modifier None Typical Low $30.20 Median $66.07 Typical High $95.50 | Facility | None | $30.20 | $66.07 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $251.19 Typical High $346.74 | Facility | None | $169.82 | $251.19 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $107.15 Typical High $190.55 | Professional | None (both parts) | $89.13 | $107.15 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $34.67 Typical High $56.23 | Professional | 26 · Professional part | $28.84 | $34.67 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $72.44 Typical High $125.89 | Professional | TC · Technical part | $57.54 | $72.44 | $125.89 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $275.42 Median $912.01 Typical High $2,137.96 | Facility | None | $275.42 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $95.50 Median $125.89 Typical High $181.97 | Professional | None (both parts) | $95.50 | $125.89 | $181.97 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $37.15 Typical High $54.95 | Professional | 26 · Professional part | $30.90 | $37.15 | $54.95 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $87.10 Typical High $128.82 | Professional | TC · Technical part | $67.61 | $87.10 | $128.82 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $107.15 Typical High $186.21 | Professional | None (both parts) | $85.11 | $107.15 | $186.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $32.36 Typical High $56.23 | Professional | 26 · Professional part | $26.30 | $32.36 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $75.86 Typical High $128.82 | Professional | TC · Technical part | $58.88 | $75.86 | $128.82 |
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· 46th of 51
$91.20
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.