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 $112.20 Median $134.90 Typical High $204.17 | Facility | None | $112.20 | $134.90 | $204.17 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $35.48 Median $41.69 Typical High $54.95 | Facility | 26 · Professional part | $35.48 | $41.69 | $54.95 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $77.62 Median $93.33 Typical High $134.90 | Facility | TC · Technical part | $77.62 | $93.33 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $112.20 Typical High $147.91 | Professional | None (both parts) | $104.71 | $112.20 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $35.48 Typical High $41.69 | Professional | 26 · Professional part | $33.11 | $35.48 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $77.62 Typical High $104.71 | Professional | TC · Technical part | $74.13 | $77.62 | $104.71 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $93.33 Median $97.72 Typical High $177.83 | Professional | None (both parts) | $93.33 | $97.72 | $177.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $53.70 | Professional | 26 · Professional part | $28.84 | $28.84 | $53.70 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $50.12 Typical High $123.03 | Professional | TC · Technical part | $50.12 | $50.12 | $123.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $29.51 | Facility | None | $15.14 | $15.14 | $29.51 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $12.88 Median $15.14 Typical High $77.62 | Professional | None (both parts) | $12.88 | $15.14 | $77.62 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $41.69 Typical High $57.54 | Professional | 26 · Professional part | $35.48 | $41.69 | $57.54 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $19.05 Median $22.91 Typical High $117.49 | Professional | 50 · Both sides | $19.05 | $22.91 | $117.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $45.71 Typical High $131.83 | Professional | TC · Technical part | $37.15 | $45.71 | $131.83 |
CareSource Setting Facility Modifier None Typical Low $38.90 Median $83.18 Typical High $123.03 | Facility | None | $38.90 | $83.18 | $123.03 |
CareSource Setting Professional Modifier None (both parts) Typical Low $35.48 Median $79.43 Typical High $141.25 | Professional | None (both parts) | $35.48 | $79.43 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $257.04 Typical High $416.87 | Facility | None | $194.98 | $257.04 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $169.82 Typical High $223.87 | Professional | None (both parts) | $112.20 | $169.82 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $48.98 Typical High $64.57 | Professional | 26 · Professional part | $36.31 | $48.98 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $123.03 Typical High $154.88 | Professional | TC · Technical part | $79.43 | $123.03 | $154.88 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $173.78 Median $912.01 Typical High $2,137.96 | Facility | None | $173.78 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $48.98 Median $57.54 Typical High $109.65 | Professional | None (both parts) | $48.98 | $57.54 | $109.65 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $162.18 Typical High $257.04 | Professional | None (both parts) | $117.49 | $162.18 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $47.86 Typical High $79.43 | Professional | 26 · Professional part | $35.48 | $47.86 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $112.20 Typical High $186.21 | Professional | TC · Technical part | $83.18 | $112.20 | $186.21 |
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 $79.43 Median $93.33 Typical High $95.50 | Professional | FX · Film X-ray | $79.43 | $93.33 | $95.50 |
Where Indiana sits
The same service costs 4.2 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· 46th of 51
$105
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.