How much rates vary
Facilitymedian $537 · 10th to 90th $182 to $2,188Professionalmedian $182 · 10th to 90th $155 to $309
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 $162.18 Median $1,122.02 Typical High $1,548.82 | Facility | None | $162.18 | $1,122.02 | $1,548.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $162.18 Typical High $177.83 | Professional | None (both parts) | $141.25 | $162.18 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $34.67 Typical High $35.48 | Professional | 26 · Professional part | $30.90 | $34.67 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $128.82 Typical High $138.04 | Professional | TC · Technical part | $109.65 | $128.82 | $138.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $181.97 Median $1,659.59 Typical High $2,818.38 | Facility | None | $181.97 | $1,659.59 | $2,818.38 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $154.88 Median $181.97 Typical High $281.84 | Professional | None (both parts) | $154.88 | $181.97 | $281.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $52.48 Typical High $70.79 | Professional | 26 · Professional part | $35.48 | $52.48 | $70.79 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $128.82 Typical High $199.53 | Professional | TC · Technical part | $109.65 | $128.82 | $199.53 |
CareSource Setting Facility Modifier None Typical Low $38.02 Median $134.90 Typical High $173.78 | Facility | None | $38.02 | $134.90 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $331.13 Typical High $446.68 | Facility | None | $186.21 | $331.13 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $223.87 Typical High $346.74 | Professional | None (both parts) | $181.97 | $223.87 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $46.77 Typical High $81.28 | Professional | 26 · Professional part | $36.31 | $46.77 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $173.78 Typical High $309.03 | Professional | TC · Technical part | $138.04 | $173.78 | $309.03 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $512.86 Median $912.01 Typical High $2,137.96 | Facility | None | $512.86 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $169.82 Median $218.78 Typical High $338.84 | Professional | None (both parts) | $169.82 | $218.78 | $338.84 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $45.71 Typical High $69.18 | Professional | 26 · Professional part | $36.31 | $45.71 | $69.18 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $173.78 Typical High $275.42 | Professional | TC · Technical part | $138.04 | $173.78 | $275.42 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $245.47 Typical High $407.38 | Professional | None (both parts) | $173.78 | $245.47 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $47.86 Typical High $85.11 | Professional | 26 · Professional part | $34.67 | $47.86 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $194.98 Typical High $323.59 | Professional | TC · Technical part | $138.04 | $194.98 | $323.59 |
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 $70.79 Median $81.28 Typical High $89.13 | Professional | 52 · Reduced service | $70.79 | $81.28 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $33.11 Typical High $35.48 | Professional | 53 · Discontinued | $28.18 | $33.11 | $35.48 |
Where Indiana sits
The same service costs 4.7 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· 48th of 51
$186
AK $741TX $158
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.