How much rates vary
Facilitymedian $209 · 10th to 90th $120 to $955Professionalmedian $263 · 10th to 90th $135 to $617
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 $151.36 Median $190.55 Typical High $263.03 | Facility | None | $151.36 | $190.55 | $263.03 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $114.82 Median $141.25 Typical High $194.98 | Facility | 26 · Professional part | $114.82 | $141.25 | $194.98 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $38.90 Median $48.98 Typical High $67.61 | Facility | TC · Technical part | $38.90 | $48.98 | $67.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $147.91 Typical High $218.78 | Professional | None (both parts) | $128.82 | $147.91 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $114.82 Typical High $162.18 | Professional | 26 · Professional part | $95.50 | $114.82 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $33.11 Typical High $63.10 | Professional | TC · Technical part | $30.90 | $33.11 | $63.10 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | None (both parts) | $97.72 | $97.72 | $97.72 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $87.10 Typical High $154.88 | Professional | 26 · Professional part | $81.28 | $87.10 | $154.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $93.33 Median $323.59 Typical High $630.96 | Facility | None | $93.33 | $323.59 | $630.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $138.04 Median $323.59 Typical High $457.09 | Professional | None (both parts) | $138.04 | $323.59 | $457.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $138.04 Typical High $204.17 | Professional | 26 · Professional part | $102.33 | $138.04 | $204.17 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $186.21 Typical High $281.84 | Professional | TC · Technical part | $35.48 | $186.21 | $281.84 |
CareSource Setting Facility Modifier None Typical Low $36.31 Median $109.65 Typical High $147.91 | Facility | None | $36.31 | $109.65 | $147.91 |
CareSource Setting Professional Modifier None (both parts) Typical Low $34.67 Median $109.65 Typical High $173.78 | Professional | None (both parts) | $34.67 | $109.65 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $120.23 Typical High $363.08 | Facility | None | $47.86 | $120.23 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $338.84 Typical High $1,047.13 | Professional | None (both parts) | $141.25 | $338.84 | $1,047.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $134.90 Typical High $239.88 | Professional | 26 · Professional part | $112.20 | $134.90 | $239.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $114.82 Typical High $794.33 | Professional | TC · Technical part | $35.48 | $114.82 | $794.33 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $416.87 Median $912.01 Typical High $2,137.96 | Facility | None | $416.87 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $147.91 Median $186.21 Typical High $288.40 | Professional | None (both parts) | $147.91 | $186.21 | $288.40 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $138.04 Typical High $208.93 | Professional | 26 · Professional part | $109.65 | $138.04 | $208.93 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $48.98 Typical High $75.86 | Professional | TC · Technical part | $36.31 | $48.98 | $75.86 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $204.17 Typical High $676.08 | Professional | None (both parts) | $131.83 | $204.17 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $128.82 Typical High $223.87 | Professional | 26 · Professional part | $97.72 | $128.82 | $223.87 |
United Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $50.12 Typical High $416.87 | Professional | TC · Technical part | $25.12 | $50.12 | $416.87 |
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 $64.57 Median $69.18 Typical High $74.13 | Professional | 52 · Reduced service | $64.57 | $69.18 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $28.18 Typical High $29.51 | Professional | 53 · Discontinued | $25.70 | $28.18 | $29.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $87.10 Median $104.71 Typical High $117.49 | Professional | FX · Film X-ray | $87.10 | $104.71 | $117.49 |
Where Indiana sits
The same service costs 5.1 times more in Alaska 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· 11th of 51
$263
AK $575FL $112
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.