How much rates vary
Facilitymedian $71 · 10th to 90th $40 to $692Professionalmedian $44 · 10th to 90th $23 to $87
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 $43.65 Median $63.10 Typical High $74.13 | Facility | None | $43.65 | $63.10 | $74.13 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $27.54 Median $39.81 Typical High $45.71 | Facility | 26 · Professional part | $27.54 | $39.81 | $45.71 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $15.85 Median $23.99 Typical High $70.79 | Facility | TC · Technical part | $15.85 | $23.99 | $70.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $43.65 Typical High $97.72 | Professional | None (both parts) | $40.74 | $43.65 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $27.54 Typical High $61.66 | Professional | 26 · Professional part | $26.30 | $27.54 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $15.49 Typical High $23.99 | Professional | TC · Technical part | $14.45 | $15.49 | $23.99 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None (both parts) | $25.70 | $25.70 | $25.70 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $21.88 Typical High $47.86 | Professional | 26 · Professional part | $16.22 | $21.88 | $47.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $23.44 Median $524.81 Typical High $724.44 | Facility | None | $23.44 | $524.81 | $724.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $23.44 Median $23.44 Typical High $51.29 | Professional | None (both parts) | $23.44 | $23.44 | $51.29 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $15.14 Typical High $32.36 | Professional | 26 · Professional part | $15.14 | $15.14 | $32.36 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $8.32 Median $8.32 Typical High $21.38 | Professional | TC · Technical part | $8.32 | $8.32 | $21.38 |
CareSource Setting Facility Modifier None Typical Low $20.89 Median $35.48 Typical High $56.23 | Facility | None | $20.89 | $35.48 | $56.23 |
CareSource Setting Professional Modifier None (both parts) Typical Low $19.50 Median $35.48 Typical High $66.07 | Professional | None (both parts) | $19.50 | $35.48 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $60.26 Typical High $144.54 | Facility | None | $13.80 | $60.26 | $144.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $51.29 Typical High $102.33 | Professional | None (both parts) | $23.99 | $51.29 | $102.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $30.20 Typical High $69.18 | Professional | 26 · Professional part | $14.45 | $30.20 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $7.24 Median $15.14 Typical High $35.48 | Professional | TC · Technical part | $7.24 | $15.14 | $35.48 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $97.72 Median $154.88 Typical High $2,089.30 | Facility | None | $97.72 | $154.88 | $2,089.30 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $54.95 Median $74.13 Typical High $93.33 | Professional | None (both parts) | $54.95 | $74.13 | $93.33 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $46.77 Typical High $61.66 | Professional | 26 · Professional part | $35.48 | $46.77 | $61.66 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $26.30 Typical High $34.67 | Professional | TC · Technical part | $19.05 | $26.30 | $34.67 |
United Setting Professional Modifier None (both parts) Typical Low $32.36 Median $57.54 Typical High $97.72 | Professional | None (both parts) | $32.36 | $57.54 | $97.72 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $37.15 Typical High $63.10 | Professional | 26 · Professional part | $21.88 | $37.15 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $10.72 Median $19.50 Typical High $33.11 | Professional | TC · Technical part | $10.72 | $19.50 | $33.11 |
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 $20.42 Median $21.38 Typical High $24.55 | Professional | 52 · Reduced service | $20.42 | $21.38 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $8.71 Typical High $9.77 | Professional | 53 · Discontinued | $8.13 | $8.71 | $9.77 |
Where Indiana sits
The same service costs 3.2 times more in Wisconsin than in Nevada. 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· 47th of 51
$45.71
WI $112NV $34.67
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.