How much rates vary
Facilitymedian $389 · 10th to 90th $126 to $955Professionalmedian $200 · 10th to 90th $120 to $295
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 $120.23 Median $575.44 Typical High $707.95 | Facility | None | $120.23 | $575.44 | $707.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $120.23 Typical High $125.89 | Professional | None (both parts) | $107.15 | $120.23 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $74.13 Typical High $77.62 | Professional | 26 · Professional part | $67.61 | $74.13 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $46.77 Typical High $50.12 | Professional | TC · Technical part | $40.74 | $46.77 | $50.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $213.80 Median $512.86 Typical High $954.99 | Facility | None | $213.80 | $512.86 | $954.99 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $125.89 Median $213.80 Typical High $295.12 | Professional | None (both parts) | $125.89 | $213.80 | $295.12 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $128.82 Typical High $173.78 | Professional | 26 · Professional part | $75.86 | $128.82 | $173.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $83.18 Typical High $117.49 | Professional | TC · Technical part | $48.98 | $83.18 | $117.49 |
CareSource Setting Facility Modifier None Typical Low $50.12 Median $81.28 Typical High $131.83 | Facility | None | $50.12 | $81.28 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $204.17 Typical High $346.74 | Facility | None | $123.03 | $204.17 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $223.87 Typical High $331.13 | Professional | None (both parts) | $144.54 | $223.87 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $112.20 Typical High $177.83 | Professional | 26 · Professional part | $85.11 | $112.20 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $89.13 Typical High $128.82 | Professional | TC · Technical part | $53.70 | $89.13 | $128.82 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $380.19 Median $912.01 Typical High $2,137.96 | Facility | None | $380.19 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $134.90 Median $162.18 Typical High $239.88 | Professional | None (both parts) | $134.90 | $162.18 | $239.88 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $100.00 Typical High $144.54 | Professional | 26 · Professional part | $81.28 | $100.00 | $144.54 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $63.10 Typical High $89.13 | Professional | TC · Technical part | $52.48 | $63.10 | $89.13 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $181.97 Typical High $295.12 | Professional | None (both parts) | $131.83 | $181.97 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $104.71 Typical High $186.21 | Professional | 26 · Professional part | $77.62 | $104.71 | $186.21 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $72.44 Typical High $120.23 | Professional | TC · Technical part | $47.86 | $72.44 | $120.23 |
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 $53.70 Median $60.26 Typical High $63.10 | Professional | 52 · Reduced service | $53.70 | $60.26 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $24.55 Typical High $25.12 | Professional | 53 · Discontinued | $21.38 | $24.55 | $25.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $85.11 Median $97.72 Typical High $100.00 | Professional | FX · Film X-ray | $85.11 | $97.72 | $100.00 |
Where Indiana sits
The same service costs 5.6 times more in Alaska than in Texas. 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· 17th of 51
$214
AK $525TX $93.33
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.