How much rates vary
Facilitymedian $100 · 10th to 90th $30 to $347Professionalmedian $32 · 10th to 90th $24 to $49
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 $30.20 Median $41.69 Typical High $186.21 | Facility | None | $30.20 | $41.69 | $186.21 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $9.33 Median $11.22 Typical High $14.45 | Facility | 26 · Professional part | $9.33 | $11.22 | $14.45 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $20.42 Median $25.70 Typical High $36.31 | Facility | TC · Technical part | $20.42 | $25.70 | $36.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $31.62 Typical High $50.12 | Professional | None (both parts) | $28.18 | $31.62 | $50.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $9.77 Typical High $14.79 | Professional | 26 · Professional part | $9.12 | $9.77 | $14.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $21.38 Typical High $32.36 | Professional | TC · Technical part | $18.62 | $21.38 | $32.36 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $20.89 Median $24.55 Typical High $37.15 | Professional | None (both parts) | $20.89 | $24.55 | $37.15 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $8.91 Typical High $14.13 | Professional | 26 · Professional part | $7.76 | $8.91 | $14.13 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $21.38 Typical High $27.54 | Professional | TC · Technical part | $14.45 | $21.38 | $27.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $54.95 Median $199.53 Typical High $269.15 | Facility | None | $54.95 | $199.53 | $269.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $26.30 Median $33.11 Typical High $40.74 | Professional | None (both parts) | $26.30 | $33.11 | $40.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $16.22 Typical High $19.50 | Professional | 26 · Professional part | $8.91 | $16.22 | $19.50 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $18.20 Typical High $28.18 | Professional | TC · Technical part | $15.14 | $18.20 | $28.18 |
CareSource Setting Facility Modifier None Typical Low $10.72 Median $21.88 Typical High $32.36 | Facility | None | $10.72 | $21.88 | $32.36 |
CareSource Setting Professional Modifier None (both parts) Typical Low $9.77 Median $20.89 Typical High $38.02 | Professional | None (both parts) | $9.77 | $20.89 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $199.53 Typical High $251.19 | Facility | None | $52.48 | $199.53 | $251.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $36.31 Typical High $61.66 | Professional | None (both parts) | $30.20 | $36.31 | $61.66 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $12.88 Typical High $19.50 | Professional | 26 · Professional part | $10.00 | $12.88 | $19.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $23.44 Typical High $41.69 | Professional | TC · Technical part | $19.95 | $23.44 | $41.69 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $93.33 Median $912.01 Typical High $2,137.96 | Facility | None | $93.33 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $33.11 Median $40.74 Typical High $60.26 | Professional | None (both parts) | $33.11 | $40.74 | $60.26 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $13.18 Typical High $19.50 | Professional | 26 · Professional part | $10.96 | $13.18 | $19.50 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $28.18 Typical High $40.74 | Professional | TC · Technical part | $22.91 | $28.18 | $40.74 |
United Setting Professional Modifier None (both parts) Typical Low $27.54 Median $33.11 Typical High $60.26 | Professional | None (both parts) | $27.54 | $33.11 | $60.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $11.75 Typical High $19.50 | Professional | 26 · Professional part | $9.55 | $11.75 | $19.50 |
United Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $21.88 Typical High $39.81 | Professional | TC · Technical part | $18.20 | $21.88 | $39.81 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | 59 · Distinct service | $24.55 | $24.55 | $24.55 |
Where Indiana sits
The same service costs 17.0 times more in Vermont than in Florida. 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
$32.36
VT $447FL $26.30
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.