How much rates vary
Facilitymedian $575 · 10th to 90th $224 to $1,622Professionalmedian $257 · 10th to 90th $195 to $398
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 $223.87 Median $269.15 Typical High $1,174.90 | Facility | None | $223.87 | $269.15 | $1,174.90 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $50.12 Median $60.26 Typical High $64.57 | Facility | 26 · Professional part | $50.12 | $60.26 | $64.57 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $147.91 Median $208.93 Typical High $288.40 | Facility | TC · Technical part | $147.91 | $208.93 | $288.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $190.55 Typical High $331.13 | Professional | None (both parts) | $162.18 | $190.55 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $42.66 Typical High $64.57 | Professional | 26 · Professional part | $38.02 | $42.66 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $147.91 Typical High $229.09 | Professional | TC · Technical part | $123.03 | $147.91 | $229.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $257.04 Median $1,230.27 Typical High $2,818.38 | Facility | None | $257.04 | $1,230.27 | $2,818.38 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $194.98 Median $257.04 Typical High $371.54 | Professional | None (both parts) | $194.98 | $257.04 | $371.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $64.57 Typical High $87.10 | Professional | 26 · Professional part | $43.65 | $64.57 | $87.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $194.98 Typical High $295.12 | Professional | TC · Technical part | $151.36 | $194.98 | $295.12 |
CareSource Setting Facility Modifier None Typical Low $46.77 Median $151.36 Typical High $199.53 | Facility | None | $46.77 | $151.36 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $501.19 Typical High $645.65 | Facility | None | $269.15 | $501.19 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $323.59 Typical High $467.74 | Professional | None (both parts) | $213.80 | $323.59 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $57.54 Typical High $97.72 | Professional | 26 · Professional part | $43.65 | $57.54 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $234.42 Typical High $354.81 | Professional | TC · Technical part | $158.49 | $234.42 | $354.81 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $588.84 Median $912.01 Typical High $2,137.96 | Facility | None | $588.84 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $194.98 Median $251.19 Typical High $389.05 | Professional | None (both parts) | $194.98 | $251.19 | $389.05 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $56.23 Typical High $83.18 | Professional | 26 · Professional part | $43.65 | $56.23 | $83.18 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $194.98 Typical High $309.03 | Professional | TC · Technical part | $151.36 | $194.98 | $309.03 |
United Setting Professional Modifier None (both parts) Typical Low $208.93 Median $288.40 Typical High $489.78 | Professional | None (both parts) | $208.93 | $288.40 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $60.26 Typical High $107.15 | Professional | 26 · Professional part | $42.66 | $60.26 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $229.09 Typical High $380.19 | Professional | TC · Technical part | $165.96 | $229.09 | $380.19 |
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 $81.28 Median $95.50 Typical High $102.33 | Professional | 52 · Reduced service | $81.28 | $95.50 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $38.02 Typical High $40.74 | Professional | 53 · Discontinued | $32.36 | $38.02 | $40.74 |
Where Indiana sits
The same service costs 3.5 times more in Wisconsin 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· 35th of 51
$257
WI $676TX $191
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.