How much rates vary
Facilitymedian $380 · 10th to 90th $257 to $955Professionalmedian $240 · 10th to 90th $162 to $457
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 $275.42 Median $331.13 Typical High $478.63 | Facility | None | $275.42 | $331.13 | $478.63 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $40.74 Median $47.86 Typical High $67.61 | Facility | 26 · Professional part | $40.74 | $47.86 | $67.61 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $239.88 Median $302.00 Typical High $407.38 | Facility | TC · Technical part | $239.88 | $302.00 | $407.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $275.42 Typical High $436.52 | Professional | None (both parts) | $218.78 | $275.42 | $436.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $40.74 Typical High $61.66 | Professional | 26 · Professional part | $33.11 | $40.74 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $239.88 Typical High $371.54 | Professional | TC · Technical part | $186.21 | $239.88 | $371.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None (both parts) | $213.80 | $213.80 | $213.80 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $30.20 Typical High $53.70 | Professional | 26 · Professional part | $28.18 | $30.20 | $53.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $338.84 | Facility | None | $173.78 | $173.78 | $338.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $147.91 Median $173.78 Typical High $275.42 | Professional | None (both parts) | $147.91 | $173.78 | $275.42 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $46.77 Typical High $66.07 | Professional | 26 · Professional part | $35.48 | $46.77 | $66.07 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $128.82 Typical High $288.40 | Professional | TC · Technical part | $109.65 | $128.82 | $288.40 |
CareSource Setting Facility Modifier None Typical Low $38.90 Median $218.78 Typical High $257.04 | Facility | None | $38.90 | $218.78 | $257.04 |
CareSource Setting Professional Modifier None (both parts) Typical Low $34.67 Median $223.87 Typical High $302.00 | Professional | None (both parts) | $34.67 | $223.87 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $707.95 Typical High $2,290.87 | Facility | None | $91.20 | $707.95 | $2,290.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $269.15 Typical High $537.03 | Professional | None (both parts) | $186.21 | $269.15 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $46.77 Typical High $85.11 | Professional | 26 · Professional part | $37.15 | $46.77 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $223.87 Typical High $524.81 | Professional | TC · Technical part | $147.91 | $223.87 | $524.81 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $758.58 Median $912.01 Typical High $2,137.96 | Facility | None | $758.58 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $257.04 Median $323.59 Typical High $524.81 | Professional | None (both parts) | $257.04 | $323.59 | $524.81 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $46.77 Typical High $72.44 | Professional | 26 · Professional part | $38.02 | $46.77 | $72.44 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $281.84 Typical High $446.68 | Professional | TC · Technical part | $218.78 | $281.84 | $446.68 |
United Setting Professional Modifier None (both parts) Typical Low $177.83 Median $302.00 Typical High $724.44 | Professional | None (both parts) | $177.83 | $302.00 | $724.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $45.71 Typical High $79.43 | Professional | 26 · Professional part | $33.88 | $45.71 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $257.04 Typical High $616.60 | Professional | TC · Technical part | $144.54 | $257.04 | $616.60 |
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 $117.49 Median $131.83 Typical High $138.04 | Professional | 52 · Reduced service | $117.49 | $131.83 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $52.48 Typical High $56.23 | Professional | 53 · Discontinued | $47.86 | $52.48 | $56.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $165.96 Median $199.53 Typical High $223.87 | Professional | FX · Film X-ray | $165.96 | $199.53 | $223.87 |
Where Indiana sits
The same service costs 4.4 times more in Alaska than in Kentucky. 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· 42nd of 51
$251
AK $977KY $224
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.