How much rates vary
Facilitymedian $347 · 10th to 90th $214 to $1,096Professionalmedian $224 · 10th to 90th $107 to $380
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 $213.80 Median $263.03 Typical High $371.54 | Facility | None | $213.80 | $263.03 | $371.54 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $60.26 Median $83.18 Typical High $107.15 | Facility | 26 · Professional part | $60.26 | $83.18 | $107.15 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $151.36 Median $204.17 Typical High $354.81 | Facility | TC · Technical part | $151.36 | $204.17 | $354.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $223.87 Typical High $371.54 | Professional | None (both parts) | $204.17 | $223.87 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $64.57 Typical High $134.90 | Professional | 26 · Professional part | $63.10 | $64.57 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $158.49 Typical High $229.09 | Professional | TC · Technical part | $144.54 | $158.49 | $229.09 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $128.82 Median $169.82 Typical High $263.03 | Professional | None (both parts) | $128.82 | $169.82 | $263.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $52.48 Typical High $56.23 | Professional | 26 · Professional part | $37.15 | $52.48 | $56.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $208.93 Median $1,096.48 Typical High $1,479.11 | Facility | None | $208.93 | $1,096.48 | $1,479.11 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $134.90 Median $208.93 Typical High $275.42 | Professional | None (both parts) | $134.90 | $208.93 | $275.42 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $100.00 Typical High $131.83 | Professional | 26 · Professional part | $74.13 | $100.00 | $131.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $107.15 Typical High $186.21 | Professional | TC · Technical part | $43.65 | $107.15 | $186.21 |
CareSource Setting Facility Modifier None Typical Low $81.28 Median $194.98 Typical High $275.42 | Facility | None | $81.28 | $194.98 | $275.42 |
CareSource Setting Professional Modifier None (both parts) Typical Low $74.13 Median $204.17 Typical High $323.59 | Professional | None (both parts) | $74.13 | $204.17 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $281.84 Typical High $575.44 | Facility | None | $131.83 | $281.84 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $213.80 Typical High $407.38 | Professional | None (both parts) | $85.11 | $213.80 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $75.86 Typical High $181.97 | Professional | 26 · Professional part | $38.02 | $75.86 | $181.97 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $102.33 Typical High $275.42 | Professional | TC · Technical part | $34.67 | $102.33 | $275.42 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $446.68 Median $776.25 Typical High $2,089.30 | Facility | None | $446.68 | $776.25 | $2,089.30 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $190.55 Median $363.08 Typical High $467.74 | Professional | None (both parts) | $190.55 | $363.08 | $467.74 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $107.15 Typical High $141.25 | Professional | 26 · Professional part | $79.43 | $107.15 | $141.25 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $263.03 Typical High $331.13 | Professional | TC · Technical part | $95.50 | $263.03 | $331.13 |
United Setting Professional Modifier None (both parts) Typical Low $154.88 Median $263.03 Typical High $478.63 | Professional | None (both parts) | $154.88 | $263.03 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $87.10 Typical High $147.91 | Professional | 26 · Professional part | $50.12 | $87.10 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $177.83 Typical High $323.59 | Professional | TC · Technical part | $107.15 | $177.83 | $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 $104.71 Median $109.65 Typical High $125.89 | Professional | 52 · Reduced service | $104.71 | $109.65 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $44.67 Typical High $50.12 | Professional | 53 · Discontinued | $41.69 | $44.67 | $50.12 |
Where Indiana sits
The same service costs 4.2 times more in Alaska than in Alabama. 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· 42nd of 51
$229
AK $575AL $138
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.