How much rates vary
Facilitymedian $871 · 10th to 90th $110 to $4,266Professionalmedian $174 · 10th to 90th $123 to $269
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 $177.83 Median $3,801.89 Typical High $5,623.41 | Facility | None | $177.83 | $3,801.89 | $5,623.41 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $177.83 Typical High $251.19 | Professional | None (both parts) | $154.88 | $177.83 | $251.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $39.81 Typical High $61.66 | Professional | 26 · Professional part | $37.15 | $39.81 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $141.25 Typical High $199.53 | Professional | TC · Technical part | $114.82 | $141.25 | $199.53 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $151.36 Median $158.49 Typical High $186.21 | Professional | None (both parts) | $151.36 | $158.49 | $186.21 |
Anthem BCBS Setting Facility Modifier None Typical Low $131.83 Median $812.83 Typical High $1,621.81 | Facility | None | $131.83 | $812.83 | $1,621.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $117.49 Median $147.91 Typical High $229.09 | Professional | None (both parts) | $117.49 | $147.91 | $229.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $56.23 Typical High $128.82 | Professional | 26 · Professional part | $33.11 | $56.23 | $128.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $25.12 Typical High $117.49 | Professional | TC · Technical part | $21.38 | $25.12 | $117.49 |
CareSource Setting Facility Modifier None Typical Low $40.74 Median $158.49 Typical High $1,230.27 | Facility | None | $40.74 | $158.49 | $1,230.27 |
CareSource Setting Professional Modifier None (both parts) Typical Low $36.31 Median $128.82 Typical High $194.98 | Professional | None (both parts) | $36.31 | $128.82 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $2,089.30 Typical High $2,691.53 | Facility | None | $50.12 | $2,089.30 | $2,691.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $223.87 Typical High $524.81 | Professional | None (both parts) | $147.91 | $223.87 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $58.88 Typical High $93.33 | Professional | 26 · Professional part | $41.69 | $58.88 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $154.88 Typical High $257.04 | Professional | TC · Technical part | $107.15 | $154.88 | $257.04 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $104.71 Median $457.09 Typical High $2,187.76 | Facility | None | $104.71 | $457.09 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $177.83 Median $257.04 Typical High $323.59 | Professional | None (both parts) | $177.83 | $257.04 | $323.59 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $60.26 Typical High $77.62 | Professional | 26 · Professional part | $44.67 | $60.26 | $77.62 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $199.53 Typical High $251.19 | Professional | TC · Technical part | $131.83 | $199.53 | $251.19 |
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 $128.82 Median $204.17 Typical High $316.23 | Professional | None (both parts) | $128.82 | $204.17 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $56.23 Typical High $89.13 | Professional | 26 · Professional part | $38.90 | $56.23 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $147.91 Typical High $223.87 | Professional | TC · Technical part | $91.20 | $147.91 | $223.87 |
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 $77.62 Median $89.13 Typical High $97.72 | Professional | 52 · Reduced service | $77.62 | $89.13 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $36.31 Typical High $38.90 | Professional | 53 · Discontinued | $30.90 | $36.31 | $38.90 |
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· 46th of 51
$174
AK $759TX $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.