How much rates vary
Facilitymedian $603 · 10th to 90th $62 to $4,677Professionalmedian $102 · 10th to 90th $76 to $155
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 $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $75.86 Typical High $131.83 | Professional | None (both parts) | $74.13 | $75.86 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $60.26 | Professional | 26 · Professional part | $40.74 | $40.74 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $35.48 Typical High $69.18 | Professional | TC · Technical part | $33.88 | $35.48 | $69.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $74.13 Median $120.23 Typical High $141.25 | Professional | None (both parts) | $74.13 | $120.23 | $141.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $57.54 Median $1,621.81 Typical High $5,370.32 | Facility | None | $57.54 | $1,621.81 | $5,370.32 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $81.28 Median $102.33 Typical High $141.25 | Professional | None (both parts) | $81.28 | $102.33 | $141.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $50.12 Typical High $69.18 | Professional | 26 · Professional part | $39.81 | $50.12 | $69.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $52.48 Typical High $74.13 | Professional | TC · Technical part | $42.66 | $52.48 | $74.13 |
CareSource Setting Facility Modifier None Typical Low $39.81 Median $46.77 Typical High $87.10 | Facility | None | $39.81 | $46.77 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $107.15 Typical High $794.33 | Facility | None | $66.07 | $107.15 | $794.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $109.65 Typical High $169.82 | Professional | None (both parts) | $81.28 | $109.65 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $53.70 Typical High $75.86 | Professional | 26 · Professional part | $42.66 | $53.70 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $50.12 Typical High $69.18 | Professional | TC · Technical part | $36.31 | $50.12 | $69.18 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $91.20 Median $263.03 Typical High $2,089.30 | Facility | None | $91.20 | $263.03 | $2,089.30 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $104.71 Median $131.83 Typical High $177.83 | Professional | None (both parts) | $104.71 | $131.83 | $177.83 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $67.61 Typical High $87.10 | Professional | 26 · Professional part | $52.48 | $67.61 | $87.10 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $64.57 Typical High $93.33 | Professional | TC · Technical part | $51.29 | $64.57 | $93.33 |
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 $74.13 Median $107.15 Typical High $158.49 | Professional | None (both parts) | $74.13 | $107.15 | $158.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $54.95 Typical High $85.11 | Professional | 26 · Professional part | $41.69 | $54.95 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $51.29 Typical High $74.13 | Professional | TC · Technical part | $32.36 | $51.29 | $74.13 |
4 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 $37.15 Median $38.02 Typical High $47.86 | Professional | 52 · Reduced service | $37.15 | $38.02 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $15.14 Typical High $19.05 | Professional | 53 · Discontinued | $14.79 | $15.14 | $19.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $11.48 Typical High $14.13 | Professional | 55 · Aftercare only | $11.22 | $11.48 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $7.59 Typical High $9.55 | Professional | 56 · Pre-op care only | $7.41 | $7.59 | $9.55 |
Where Indiana sits
The same service costs 5.9 times more in Alaska than in Alabama. 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· 38th of 51
$102
AK $331AL $56.23
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.