How much rates vary
Facilitymedian $347 · 10th to 90th $115 to $955Professionalmedian $135 · 10th to 90th $107 to $186
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 $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $107.15 Typical High $112.20 | Professional | None (both parts) | $100.00 | $107.15 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $60.26 Typical High $61.66 | Professional | 26 · Professional part | $54.95 | $60.26 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $46.77 Typical High $53.70 | Professional | TC · Technical part | $44.67 | $46.77 | $53.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $123.03 Median $346.74 Typical High $346.74 | Facility | None | $123.03 | $346.74 | $346.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $117.49 Median $144.54 Typical High $186.21 | Professional | None (both parts) | $117.49 | $144.54 | $186.21 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $66.07 Typical High $89.13 | Professional | 26 · Professional part | $56.23 | $66.07 | $89.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $77.62 Typical High $91.20 | Professional | TC · Technical part | $61.66 | $77.62 | $91.20 |
CareSource Setting Facility Modifier None Typical Low $50.12 Median $64.57 Typical High $269.15 | Facility | None | $50.12 | $64.57 | $269.15 |
CareSource Setting Professional Modifier None (both parts) Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None (both parts) | $43.65 | $43.65 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $141.25 Typical High $234.42 | Professional | None (both parts) | $114.82 | $141.25 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $74.13 Typical High $128.82 | Professional | 26 · Professional part | $61.66 | $74.13 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $66.07 Typical High $107.15 | Professional | TC · Technical part | $51.29 | $66.07 | $107.15 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $346.74 Median $912.01 Typical High $2,137.96 | Facility | None | $346.74 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $125.89 Median $165.96 Typical High $213.80 | Professional | None (both parts) | $125.89 | $165.96 | $213.80 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $81.28 Typical High $120.23 | Professional | 26 · Professional part | $69.18 | $81.28 | $120.23 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $77.62 Typical High $95.50 | Professional | TC · Technical part | $64.57 | $77.62 | $95.50 |
United Setting Professional Modifier None (both parts) Typical Low $112.20 Median $128.82 Typical High $204.17 | Professional | None (both parts) | $112.20 | $128.82 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $67.61 Typical High $104.71 | Professional | 26 · Professional part | $56.23 | $67.61 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $64.57 Typical High $97.72 | Professional | TC · Technical part | $52.48 | $64.57 | $97.72 |
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 $50.12 Median $53.70 Typical High $56.23 | Professional | 52 · Reduced service | $50.12 | $53.70 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $21.38 Typical High $22.91 | Professional | 53 · Discontinued | $19.95 | $21.38 | $22.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $89.13 Typical High $91.20 | Professional | FX · Film X-ray | $75.86 | $89.13 | $91.20 |
Where Indiana sits
The same service costs 4.5 times more in Alaska than in Florida. 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· 34th of 51
$135
AK $372FL $83.18
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.