How much rates vary
Facilitymedian $240 · 10th to 90th $32 to $955Professionalmedian $58 · 10th to 90th $32 to $120
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 $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $72.44 Typical High $91.20 | Professional | None (both parts) | $53.70 | $72.44 | $91.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $29.51 Typical High $37.15 | Professional | 26 · Professional part | $22.91 | $29.51 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $43.65 Typical High $50.12 | Professional | TC · Technical part | $31.62 | $43.65 | $50.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $28.84 Median $37.15 Typical High $323.59 | Facility | None | $28.84 | $37.15 | $323.59 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $31.62 Median $37.15 Typical High $77.62 | Professional | None (both parts) | $31.62 | $37.15 | $77.62 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $18.62 Typical High $30.90 | Professional | 26 · Professional part | $15.85 | $18.62 | $30.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $18.62 Typical High $51.29 | Professional | TC · Technical part | $15.49 | $18.62 | $51.29 |
CareSource Setting Facility Modifier None Typical Low $32.36 Median $45.71 Typical High $204.17 | Facility | None | $32.36 | $45.71 | $204.17 |
Cigna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $91.20 Typical High $128.82 | Professional | None (both parts) | $51.29 | $91.20 | $128.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $29.51 Typical High $45.71 | Professional | 26 · Professional part | $20.42 | $29.51 | $45.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $58.88 Typical High $79.43 | Professional | TC · Technical part | $21.38 | $58.88 | $79.43 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $223.87 Median $912.01 Typical High $2,137.96 | Facility | None | $223.87 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $83.18 Median $100.00 Typical High $147.91 | Professional | None (both parts) | $83.18 | $100.00 | $147.91 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $40.74 Typical High $60.26 | Professional | 26 · Professional part | $33.88 | $40.74 | $60.26 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $60.26 Typical High $89.13 | Professional | TC · Technical part | $50.12 | $60.26 | $89.13 |
United Setting Professional Modifier None (both parts) Typical Low $39.81 Median $77.62 Typical High $144.54 | Professional | None (both parts) | $39.81 | $77.62 | $144.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $33.11 Typical High $64.57 | Professional | 26 · Professional part | $18.20 | $33.11 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $46.77 Typical High $85.11 | Professional | TC · Technical part | $19.50 | $46.77 | $85.11 |
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 $33.11 Median $36.31 Typical High $38.02 | Professional | 52 · Reduced service | $33.11 | $36.31 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $14.45 Typical High $15.14 | Professional | 53 · Discontinued | $13.18 | $14.45 | $15.14 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $51.29 Median $58.88 Typical High $60.26 | Professional | FX · Film X-ray | $51.29 | $58.88 | $60.26 |
Where Indiana sits
The same service costs 5.9 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· 43rd of 51
$63.10
AK $245TX $41.69
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.