How much rates vary
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 $109.65 Median $138.04 Typical High $169.82 | Facility | None | $109.65 | $138.04 | $169.82 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $25.12 Median $31.62 Typical High $38.90 | Facility | 26 · Professional part | $25.12 | $31.62 | $38.90 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $85.11 Median $107.15 Typical High $147.91 | Facility | TC · Technical part | $85.11 | $107.15 | $147.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $104.71 Typical High $169.82 | Professional | None (both parts) | $89.13 | $104.71 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $24.55 Typical High $39.81 | Professional | 26 · Professional part | $23.44 | $24.55 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $79.43 Typical High $131.83 | Professional | TC · Technical part | $67.61 | $79.43 | $131.83 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $77.62 Median $91.20 Typical High $120.23 | Professional | None (both parts) | $77.62 | $91.20 | $120.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $25.70 Typical High $38.90 | Professional | 26 · Professional part | $17.78 | $25.70 | $38.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $72.44 Median $199.53 Typical High $436.52 | Facility | None | $72.44 | $199.53 | $436.52 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $61.66 Median $72.44 Typical High $123.03 | Professional | None (both parts) | $61.66 | $72.44 | $123.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $26.92 Typical High $41.69 | Professional | 26 · Professional part | $22.91 | $26.92 | $41.69 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $45.71 Typical High $95.50 | Professional | TC · Technical part | $38.90 | $45.71 | $95.50 |
CareSource Setting Facility Modifier None Typical Low $26.92 Median $81.28 Typical High $144.54 | Facility | None | $26.92 | $81.28 | $144.54 |
CareSource Setting Professional Modifier None (both parts) Typical Low $24.55 Median $89.13 Typical High $131.83 | Professional | None (both parts) | $24.55 | $89.13 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $114.82 Typical High $190.55 | Professional | None (both parts) | $74.13 | $114.82 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.20 Typical High $48.98 | Professional | 26 · Professional part | $26.30 | $30.20 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $79.43 Typical High $199.53 | Professional | TC · Technical part | $47.86 | $79.43 | $199.53 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $338.84 Median $912.01 Typical High $2,137.96 | Facility | None | $338.84 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $120.23 Median $141.25 Typical High $213.80 | Professional | None (both parts) | $120.23 | $141.25 | $213.80 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $33.88 Typical High $50.12 | Professional | 26 · Professional part | $27.54 | $33.88 | $50.12 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $109.65 Typical High $165.96 | Professional | TC · Technical part | $91.20 | $109.65 | $165.96 |
United Setting Professional Modifier None (both parts) Typical Low $69.18 Median $104.71 Typical High $229.09 | Professional | None (both parts) | $69.18 | $104.71 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $29.51 Typical High $48.98 | Professional | 26 · Professional part | $23.44 | $29.51 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $75.86 Typical High $165.96 | Professional | TC · Technical part | $41.69 | $75.86 | $165.96 |
1 more rate 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 FX · Film X-ray Typical Low $70.79 Median $83.18 Typical High $89.13 | Professional | FX · Film X-ray | $70.79 | $83.18 | $89.13 |
Where Indiana sits
The same service costs 4.5 times more in Alaska than in New York. 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· 45th of 51
$97.72
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.