How much rates vary
Facilitymedian $23 · 10th to 90th $6 to $955Professionalmedian $9 · 10th to 90th $6 to $40
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 $5.01 Median $251.19 Typical High $316.23 | Facility | None | $5.01 | $251.19 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $5.89 Median $6.03 Typical High $7.08 | Professional | None (both parts) | $5.89 | $6.03 | $7.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $2.24 Median $2.34 Typical High $2.75 | Professional | 26 · Professional part | $2.24 | $2.34 | $2.75 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.63 Median $3.72 Typical High $4.37 | Professional | TC · Technical part | $3.63 | $3.72 | $4.37 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.00 Median $26.92 Typical High $426.58 | Facility | None | $10.00 | $26.92 | $426.58 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $5.89 Median $10.00 Typical High $15.49 | Professional | None (both parts) | $5.89 | $10.00 | $15.49 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $2.14 Median $2.51 Typical High $3.89 | Professional | 26 · Professional part | $2.14 | $2.51 | $3.89 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $4.90 Median $8.13 Typical High $10.00 | Professional | TC · Technical part | $4.90 | $8.13 | $10.00 |
CareSource Setting Facility Modifier None Typical Low $2.75 Median $4.37 Typical High $7.08 | Facility | None | $2.75 | $4.37 | $7.08 |
Cigna Setting Facility Modifier None Typical Low $11.48 Median $14.45 Typical High $467.74 | Facility | None | $11.48 | $14.45 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $6.61 Median $15.14 Typical High $54.95 | Professional | None (both parts) | $6.61 | $15.14 | $54.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $2.51 Median $3.39 Typical High $5.62 | Professional | 26 · Professional part | $2.51 | $3.39 | $5.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $4.17 Median $8.71 Typical High $37.15 | Professional | TC · Technical part | $4.17 | $8.71 | $37.15 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $20.89 Median $912.01 Typical High $2,137.96 | Facility | None | $20.89 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $7.24 Median $8.71 Typical High $14.13 | Professional | None (both parts) | $7.24 | $8.71 | $14.13 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $2.63 Median $3.24 Typical High $5.01 | Professional | 26 · Professional part | $2.63 | $3.24 | $5.01 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $4.57 Median $5.62 Typical High $8.91 | Professional | TC · Technical part | $4.57 | $5.62 | $8.91 |
United Setting Professional Modifier None (both parts) Typical Low $6.31 Median $9.55 Typical High $30.20 | Professional | None (both parts) | $6.31 | $9.55 | $30.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $2.45 Median $3.09 Typical High $5.13 | Professional | 26 · Professional part | $2.45 | $3.09 | $5.13 |
United Setting Professional Modifier TC · Technical part Typical Low $3.80 Median $5.75 Typical High $22.91 | Professional | TC · Technical part | $3.80 | $5.75 | $22.91 |
4 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 $2.95 Median $3.02 Typical High $3.55 | Professional | 52 · Reduced service | $2.95 | $3.02 | $3.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.17 Median $1.23 Typical High $1.45 | Professional | 53 · Discontinued | $1.17 | $1.23 | $1.45 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $4.68 Median $5.50 Typical High $5.75 | Professional | FX · Film X-ray | $4.68 | $5.50 | $5.75 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | 59 · Distinct service | $5.13 | $5.13 | $5.13 |
Where Indiana sits
The same service costs 4.2 times more in Kansas 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· 32nd of 51
$9.55
KS $23.99FL $5.75
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.