How much rates vary
Facilitymedian $43 · 10th to 90th $23 to $120Professionalmedian $32 · 10th to 90th $17 to $58
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 $25.12 Median $37.15 Typical High $44.67 | Facility | None | $25.12 | $37.15 | $44.67 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $5.25 Median $7.76 Typical High $9.55 | Facility | 26 · Professional part | $5.25 | $7.76 | $9.55 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $19.50 Median $28.84 Typical High $51.29 | Facility | TC · Technical part | $19.50 | $28.84 | $51.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $25.12 Typical High $57.54 | Professional | None (both parts) | $23.44 | $25.12 | $57.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.25 Median $5.25 Typical High $10.96 | Professional | 26 · Professional part | $5.25 | $5.25 | $10.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $19.50 Typical High $28.18 | Professional | TC · Technical part | $18.20 | $19.50 | $28.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $15.85 Median $19.50 Typical High $20.42 | Professional | None (both parts) | $15.85 | $19.50 | $20.42 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $3.16 Median $3.80 Typical High $4.79 | Professional | 26 · Professional part | $3.16 | $3.80 | $4.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $44.67 Median $114.82 Typical High $151.36 | Facility | None | $44.67 | $114.82 | $151.36 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $22.91 Median $44.67 Typical High $57.54 | Professional | None (both parts) | $22.91 | $44.67 | $57.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $8.71 Typical High $12.88 | Professional | 26 · Professional part | $6.31 | $8.71 | $12.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $12.88 Median $36.31 Typical High $47.86 | Professional | TC · Technical part | $12.88 | $36.31 | $47.86 |
CareSource Setting Facility Modifier None Typical Low $6.92 Median $25.12 Typical High $31.62 | Facility | None | $6.92 | $25.12 | $31.62 |
CareSource Setting Professional Modifier None (both parts) Typical Low $6.17 Median $26.30 Typical High $37.15 | Professional | None (both parts) | $6.17 | $26.30 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $16.98 Median $42.66 Typical High $74.13 | Facility | None | $16.98 | $42.66 | $74.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $15.14 Median $28.84 Typical High $69.18 | Professional | None (both parts) | $15.14 | $28.84 | $69.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $3.16 Median $6.31 Typical High $15.49 | Professional | 26 · Professional part | $3.16 | $6.31 | $15.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $11.48 Median $22.39 Typical High $43.65 | Professional | TC · Technical part | $11.48 | $22.39 | $43.65 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $74.13 Median $91.20 Typical High $2,089.30 | Facility | None | $74.13 | $91.20 | $2,089.30 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $32.36 Median $42.66 Typical High $53.70 | Professional | None (both parts) | $32.36 | $42.66 | $53.70 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $8.91 Typical High $11.75 | Professional | 26 · Professional part | $6.61 | $8.91 | $11.75 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $33.88 Typical High $42.66 | Professional | TC · Technical part | $23.44 | $33.88 | $42.66 |
United Setting Professional Modifier None (both parts) Typical Low $17.38 Median $31.62 Typical High $53.70 | Professional | None (both parts) | $17.38 | $31.62 | $53.70 |
United Setting Professional Modifier 26 · Professional part Typical Low $4.07 Median $7.24 Typical High $12.30 | Professional | 26 · Professional part | $4.07 | $7.24 | $12.30 |
United Setting Professional Modifier TC · Technical part Typical Low $13.18 Median $23.99 Typical High $45.71 | Professional | TC · Technical part | $13.18 | $23.99 | $45.71 |
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 $11.75 Median $12.59 Typical High $14.45 | Professional | 52 · Reduced service | $11.75 | $12.59 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $5.01 Typical High $5.75 | Professional | 53 · Discontinued | $4.68 | $5.01 | $5.75 |
Where Indiana sits
The same service costs 4.4 times more in Alaska than in Arkansas. 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· 40th of 51
$33.11
AK $123AR $28.18
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.