How much rates vary
Facilitymedian $263 · 10th to 90th $40 to $2,884Professionalmedian $46 · 10th to 90th $38 to $72
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 $46.77 Median $56.23 Typical High $81.28 | Facility | None | $46.77 | $56.23 | $81.28 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $26.92 Median $32.36 Typical High $46.77 | Facility | 26 · Professional part | $26.92 | $32.36 | $46.77 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $19.50 Median $23.99 Typical High $29.51 | Facility | TC · Technical part | $19.50 | $23.99 | $29.51 |
Aetna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $45.71 Typical High $69.18 | Professional | None (both parts) | $39.81 | $45.71 | $69.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $26.92 Typical High $40.74 | Professional | 26 · Professional part | $24.55 | $26.92 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $17.78 Typical High $28.18 | Professional | TC · Technical part | $15.85 | $17.78 | $28.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $33.11 Median $46.77 Typical High $64.57 | Professional | None (both parts) | $33.11 | $46.77 | $64.57 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $31.62 Typical High $37.15 | Professional | 26 · Professional part | $28.18 | $31.62 | $37.15 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $7.41 Median $14.13 Typical High $29.51 | Professional | TC · Technical part | $7.41 | $14.13 | $29.51 |
Anthem BCBS Setting Facility Modifier None Typical Low $77.62 Median $346.74 Typical High $1,148.15 | Facility | None | $77.62 | $346.74 | $1,148.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $38.02 Median $44.67 Typical High $66.07 | Professional | None (both parts) | $38.02 | $44.67 | $66.07 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $42.66 Typical High $57.54 | Professional | 26 · Professional part | $26.30 | $42.66 | $57.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $18.62 Typical High $27.54 | Professional | TC · Technical part | $14.79 | $18.62 | $27.54 |
CareSource Setting Facility Modifier None Typical Low $19.05 Median $29.51 Typical High $48.98 | Facility | None | $19.05 | $29.51 | $48.98 |
CareSource Setting Professional Modifier None (both parts) Typical Low $18.20 Median $29.51 Typical High $56.23 | Professional | None (both parts) | $18.20 | $29.51 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $23.99 Median $39.81 Typical High $346.74 | Facility | None | $23.99 | $39.81 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $56.23 Typical High $97.72 | Professional | None (both parts) | $44.67 | $56.23 | $97.72 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $34.67 Typical High $61.66 | Professional | 26 · Professional part | $29.51 | $34.67 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.00 Median $19.05 Typical High $28.84 | Professional | TC · Technical part | $10.00 | $19.05 | $28.84 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $43.65 Median $138.04 Typical High $2,089.30 | Facility | None | $43.65 | $138.04 | $2,089.30 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $48.98 Median $60.26 Typical High $91.20 | Professional | None (both parts) | $48.98 | $60.26 | $91.20 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $34.67 Typical High $53.70 | Professional | 26 · Professional part | $28.84 | $34.67 | $53.70 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $25.12 Typical High $38.02 | Professional | TC · Technical part | $20.42 | $25.12 | $38.02 |
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 $41.69 Median $53.70 Typical High $83.18 | Professional | None (both parts) | $41.69 | $53.70 | $83.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $35.48 Typical High $51.29 | Professional | 26 · Professional part | $27.54 | $35.48 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $19.50 Typical High $31.62 | Professional | TC · Technical part | $13.49 | $19.50 | $31.62 |
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 $19.50 Median $21.38 Typical High $24.55 | Professional | 52 · Reduced service | $19.50 | $21.38 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $8.51 Typical High $9.77 | Professional | 53 · Discontinued | $7.76 | $8.51 | $9.77 |
Where Indiana sits
The same service costs 6.5 times more in Minnesota than in Kentucky. 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· 49th of 51
$47.86
MN $295KY $45.71
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.