How much rates vary
Facilitymedian $525 · 10th to 90th $141 to $3,715Professionalmedian $200 · 10th to 90th $123 to $363
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 $213.80 Median $5,011.87 Typical High $5,623.41 | Facility | None | $213.80 | $5,011.87 | $5,623.41 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $302.00 | Professional | None (both parts) | $213.80 | $213.80 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $74.13 Typical High $100.00 | Professional | 26 · Professional part | $70.79 | $74.13 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $141.25 Typical High $199.53 | Professional | TC · Technical part | $134.90 | $141.25 | $199.53 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $245.47 | $245.47 | $245.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $123.03 Median $758.58 Typical High $1,621.81 | Facility | None | $123.03 | $758.58 | $1,621.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $104.71 Median $123.03 Typical High $204.17 | Professional | None (both parts) | $104.71 | $123.03 | $204.17 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $102.33 Typical High $138.04 | Professional | 26 · Professional part | $70.79 | $102.33 | $138.04 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $20.42 Typical High $134.90 | Professional | TC · Technical part | $17.38 | $20.42 | $134.90 |
CareSource Setting Facility Modifier None Typical Low $77.62 Median $125.89 Typical High $263.03 | Facility | None | $77.62 | $125.89 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $245.47 Typical High $794.33 | Facility | None | $147.91 | $245.47 | $794.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $295.12 Typical High $501.19 | Professional | None (both parts) | $204.17 | $295.12 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $89.13 Typical High $123.03 | Professional | 26 · Professional part | $74.13 | $89.13 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $177.83 Typical High $275.42 | Professional | TC · Technical part | $131.83 | $177.83 | $275.42 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $239.88 Median $354.81 Typical High $2,089.30 | Facility | None | $239.88 | $354.81 | $2,089.30 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $229.09 Median $316.23 Typical High $407.38 | Professional | None (both parts) | $229.09 | $316.23 | $407.38 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $114.82 Typical High $147.91 | Professional | 26 · Professional part | $87.10 | $114.82 | $147.91 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $204.17 Typical High $257.04 | Professional | TC · Technical part | $141.25 | $204.17 | $257.04 |
United Setting Facility Modifier None Typical Low $109.65 Median $812.83 Typical High $4,168.69 | Facility | None | $109.65 | $812.83 | $4,168.69 |
United Setting Professional Modifier None (both parts) Typical Low $186.21 Median $275.42 Typical High $398.11 | Professional | None (both parts) | $186.21 | $275.42 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $91.20 Typical High $144.54 | Professional | 26 · Professional part | $70.79 | $91.20 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $181.97 Typical High $251.19 | Professional | TC · Technical part | $114.82 | $181.97 | $251.19 |
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 52 · Reduced service Typical Low $102.33 Median $107.15 Typical High $123.03 | Professional | 52 · Reduced service | $102.33 | $107.15 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $42.66 Typical High $48.98 | Professional | 53 · Discontinued | $40.74 | $42.66 | $48.98 |
Where Indiana sits
The same service costs 5.2 times more in Wisconsin than in Utah. 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· 44th of 51
$214
WI $708UT $135
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.