How much rates vary
Facilitymedian $115 · 10th to 90th $37 to $468Professionalmedian $62 · 10th to 90th $32 to $129
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 $35.48 Median $48.98 Typical High $251.19 | Facility | None | $35.48 | $48.98 | $251.19 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $8.71 Median $10.47 Typical High $13.49 | Facility | 26 · Professional part | $8.71 | $10.47 | $13.49 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $26.92 Median $33.88 Typical High $46.77 | Facility | TC · Technical part | $26.92 | $33.88 | $46.77 |
Aetna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $36.31 Typical High $70.79 | Professional | None (both parts) | $32.36 | $36.31 | $70.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $8.91 Typical High $14.13 | Professional | 26 · Professional part | $8.13 | $8.91 | $14.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $26.92 Typical High $52.48 | Professional | TC · Technical part | $24.55 | $26.92 | $52.48 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $29.51 Median $35.48 Typical High $38.90 | Professional | None (both parts) | $29.51 | $35.48 | $38.90 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $8.71 Typical High $11.48 | Professional | 26 · Professional part | $6.17 | $8.71 | $11.48 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $30.90 Typical High $41.69 | Professional | TC · Technical part | $29.51 | $30.90 | $41.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $100.00 Median $199.53 Typical High $323.59 | Facility | None | $100.00 | $199.53 | $323.59 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $36.31 Median $83.18 Typical High $117.49 | Professional | None (both parts) | $36.31 | $83.18 | $117.49 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $19.05 Typical High $24.55 | Professional | 26 · Professional part | $8.91 | $19.05 | $24.55 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $63.10 Typical High $95.50 | Professional | TC · Technical part | $27.54 | $63.10 | $95.50 |
CareSource Setting Facility Modifier None Typical Low $9.77 Median $28.18 Typical High $38.02 | Facility | None | $9.77 | $28.18 | $38.02 |
CareSource Setting Professional Modifier None (both parts) Typical Low $8.71 Median $26.92 Typical High $44.67 | Professional | None (both parts) | $8.71 | $26.92 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $199.53 Typical High $467.74 | Facility | None | $72.44 | $199.53 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $107.15 Typical High $158.49 | Professional | None (both parts) | $36.31 | $107.15 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $11.75 Typical High $21.88 | Professional | 26 · Professional part | $8.91 | $11.75 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $85.11 Typical High $117.49 | Professional | TC · Technical part | $26.92 | $85.11 | $117.49 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $112.20 Median $912.01 Typical High $2,137.96 | Facility | None | $112.20 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $38.90 Median $48.98 Typical High $77.62 | Professional | None (both parts) | $38.90 | $48.98 | $77.62 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.02 Typical High $18.20 | Professional | 26 · Professional part | $9.77 | $12.02 | $18.20 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $37.15 Typical High $58.88 | Professional | TC · Technical part | $29.51 | $37.15 | $58.88 |
United Setting Professional Modifier None (both parts) Typical Low $33.88 Median $51.29 Typical High $109.65 | Professional | None (both parts) | $33.88 | $51.29 | $109.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $10.47 Typical High $21.38 | Professional | 26 · Professional part | $7.76 | $10.47 | $21.38 |
United Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $38.90 Typical High $93.33 | Professional | TC · Technical part | $25.12 | $38.90 | $93.33 |
2 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 FX · Film X-ray Typical Low $24.55 Median $28.84 Typical High $28.84 | Professional | FX · Film X-ray | $24.55 | $28.84 | $28.84 |
Ambetter Setting Professional Modifier XU · Unusual separate service Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | XU · Unusual separate service | $29.51 | $29.51 | $29.51 |
Where Indiana sits
The same service costs 4.2 times more in Vermont 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· 21st of 51
$64.57
VT $135FL $32.36
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.