How much rates vary
Facilitymedian $537 · 10th to 90th $288 to $1,230Professionalmedian $288 · 10th to 90th $214 to $550
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 $288.40 Median $389.05 Typical High $870.96 | Facility | None | $288.40 | $389.05 | $870.96 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $44.67 Median $58.88 Typical High $75.86 | Facility | 26 · Professional part | $44.67 | $58.88 | $75.86 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $245.47 Median $331.13 Typical High $446.68 | Facility | TC · Technical part | $245.47 | $331.13 | $446.68 |
Aetna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $288.40 Typical High $489.78 | Professional | None (both parts) | $245.47 | $288.40 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $44.67 Typical High $75.86 | Professional | 26 · Professional part | $39.81 | $44.67 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $245.47 Typical High $407.38 | Professional | TC · Technical part | $208.93 | $245.47 | $407.38 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $54.95 Typical High $54.95 | Professional | 26 · Professional part | $38.90 | $54.95 | $54.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $234.42 Median $1,230.27 Typical High $1,621.81 | Facility | None | $234.42 | $1,230.27 | $1,621.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $234.42 Typical High $363.08 | Professional | None (both parts) | $199.53 | $234.42 | $363.08 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $66.07 Typical High $89.13 | Professional | 26 · Professional part | $44.67 | $66.07 | $89.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $169.82 Typical High $263.03 | Professional | TC · Technical part | $144.54 | $169.82 | $263.03 |
CareSource Setting Facility Modifier None Typical Low $48.98 Median $245.47 Typical High $295.12 | Facility | None | $48.98 | $245.47 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $812.83 Typical High $1,047.13 | Facility | None | $269.15 | $812.83 | $1,047.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $371.54 Typical High $616.60 | Professional | None (both parts) | $263.03 | $371.54 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $58.88 Typical High $102.33 | Professional | 26 · Professional part | $45.71 | $58.88 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $269.15 Typical High $537.03 | Professional | TC · Technical part | $204.17 | $269.15 | $537.03 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $851.14 Median $912.01 Typical High $2,137.96 | Facility | None | $851.14 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $288.40 Median $380.19 Typical High $588.84 | Professional | None (both parts) | $288.40 | $380.19 | $588.84 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $58.88 Typical High $87.10 | Professional | 26 · Professional part | $45.71 | $58.88 | $87.10 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $323.59 Typical High $501.19 | Professional | TC · Technical part | $251.19 | $323.59 | $501.19 |
United Setting Professional Modifier None (both parts) Typical Low $281.84 Median $416.87 Typical High $741.31 | Professional | None (both parts) | $281.84 | $416.87 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $61.66 Typical High $112.20 | Professional | 26 · Professional part | $43.65 | $61.66 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $354.81 Typical High $630.96 | Professional | TC · Technical part | $234.42 | $354.81 | $630.96 |
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 $120.23 Median $144.54 Typical High $158.49 | Professional | 52 · Reduced service | $120.23 | $144.54 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $57.54 Typical High $63.10 | Professional | 53 · Discontinued | $47.86 | $57.54 | $63.10 |
Where Indiana sits
The same service costs 4.7 times more in Alaska 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· 48th of 51
$295
AK $1,288KY $275
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.