How much rates vary
Facilitymedian $191 · 10th to 90th $132 to $955Professionalmedian $129 · 10th to 90th $87 to $224
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 $141.25 Median $169.82 Typical High $177.83 | Facility | None | $141.25 | $169.82 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $141.25 Typical High $173.78 | Professional | None (both parts) | $104.71 | $141.25 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $42.66 Typical High $52.48 | Professional | 26 · Professional part | $35.48 | $42.66 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $100.00 Typical High $120.23 | Professional | TC · Technical part | $74.13 | $100.00 | $120.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $208.93 | Facility | None | $107.15 | $107.15 | $208.93 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $87.10 Median $107.15 Typical High $165.96 | Professional | None (both parts) | $87.10 | $107.15 | $165.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $74.13 Typical High $100.00 | Professional | 26 · Professional part | $37.15 | $74.13 | $100.00 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $33.88 Typical High $100.00 | Professional | TC · Technical part | $28.84 | $33.88 | $100.00 |
CareSource Setting Facility Modifier None Typical Low $40.74 Median $91.20 Typical High $131.83 | Facility | None | $40.74 | $91.20 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $302.00 Typical High $977.24 | Facility | None | $91.20 | $302.00 | $977.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $151.36 Typical High $263.03 | Professional | None (both parts) | $104.71 | $151.36 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $51.29 Typical High $89.13 | Professional | 26 · Professional part | $41.69 | $51.29 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $89.13 Typical High $223.87 | Professional | TC · Technical part | $21.38 | $89.13 | $223.87 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $389.05 Median $912.01 Typical High $2,137.96 | Facility | None | $389.05 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $131.83 Median $165.96 Typical High $263.03 | Professional | None (both parts) | $131.83 | $165.96 | $263.03 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $51.29 Typical High $77.62 | Professional | 26 · Professional part | $40.74 | $51.29 | $77.62 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $117.49 Typical High $186.21 | Professional | TC · Technical part | $93.33 | $117.49 | $186.21 |
United Setting Professional Modifier None (both parts) Typical Low $64.57 Median $134.90 Typical High $245.47 | Professional | None (both parts) | $64.57 | $134.90 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $50.12 Typical High $83.18 | Professional | 26 · Professional part | $37.15 | $50.12 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $89.13 Typical High $169.82 | Professional | TC · Technical part | $20.42 | $89.13 | $169.82 |
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 $61.66 Median $67.61 Typical High $70.79 | Professional | 52 · Reduced service | $61.66 | $67.61 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $26.92 Typical High $28.84 | Professional | 53 · Discontinued | $24.55 | $26.92 | $28.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $87.10 Median $102.33 Typical High $114.82 | Professional | FX · Film X-ray | $87.10 | $102.33 | $114.82 |
Where Indiana sits
The same service costs 6.9 times more in Alaska than in Michigan. 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· 37th of 51
$129
AK $525MI $75.86
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.