How much rates vary
Facilitymedian $105 · 10th to 90th $33 to $407Professionalmedian $62 · 10th to 90th $29 to $107
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 $61.66 Median $93.33 Typical High $107.15 | Facility | None | $61.66 | $93.33 | $107.15 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $9.33 Median $13.49 Typical High $15.85 | Facility | 26 · Professional part | $9.33 | $13.49 | $15.85 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $52.48 Median $79.43 Typical High $134.90 | Facility | TC · Technical part | $52.48 | $79.43 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $61.66 Typical High $109.65 | Professional | None (both parts) | $57.54 | $61.66 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $9.33 Typical High $19.95 | Professional | 26 · Professional part | $9.12 | $9.33 | $19.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $52.48 Typical High $83.18 | Professional | TC · Technical part | $48.98 | $52.48 | $83.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $48.98 Median $75.86 Typical High $75.86 | Professional | None (both parts) | $48.98 | $75.86 | $75.86 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $5.50 Median $7.41 Typical High $13.18 | Professional | 26 · Professional part | $5.50 | $7.41 | $13.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $28.84 Median $165.96 Typical High $549.54 | Facility | None | $28.84 | $165.96 | $549.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $28.84 Median $28.84 Typical High $75.86 | Professional | None (both parts) | $28.84 | $28.84 | $75.86 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $5.01 Typical High $16.98 | Professional | 26 · Professional part | $5.01 | $5.01 | $16.98 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $23.99 Typical High $64.57 | Professional | TC · Technical part | $23.99 | $23.99 | $64.57 |
CareSource Setting Facility Modifier None Typical Low $12.02 Median $66.07 Typical High $77.62 | Facility | None | $12.02 | $66.07 | $77.62 |
CareSource Setting Professional Modifier None (both parts) Typical Low $10.96 Median $69.18 Typical High $91.20 | Professional | None (both parts) | $10.96 | $69.18 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $81.28 Typical High $194.98 | Facility | None | $33.11 | $81.28 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $60.26 Typical High $131.83 | Professional | None (both parts) | $24.55 | $60.26 | $131.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $10.96 Typical High $26.30 | Professional | 26 · Professional part | $5.62 | $10.96 | $26.30 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $38.02 Typical High $104.71 | Professional | TC · Technical part | $18.20 | $38.02 | $104.71 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $120.23 Median $223.87 Typical High $2,089.30 | Facility | None | $120.23 | $223.87 | $2,089.30 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $40.74 Median $104.71 Typical High $131.83 | Professional | None (both parts) | $40.74 | $104.71 | $131.83 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $15.85 Typical High $20.89 | Professional | 26 · Professional part | $10.72 | $15.85 | $20.89 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $89.13 Typical High $112.20 | Professional | TC · Technical part | $30.90 | $89.13 | $112.20 |
United Setting Professional Modifier None (both parts) Typical Low $42.66 Median $72.44 Typical High $128.82 | Professional | None (both parts) | $42.66 | $72.44 | $128.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $12.59 Typical High $21.38 | Professional | 26 · Professional part | $7.24 | $12.59 | $21.38 |
United Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $61.66 Typical High $107.15 | Professional | TC · Technical part | $35.48 | $61.66 | $107.15 |
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 $28.84 Median $30.90 Typical High $35.48 | Professional | 52 · Reduced service | $28.84 | $30.90 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $12.30 Typical High $14.13 | Professional | 53 · Discontinued | $11.48 | $12.30 | $14.13 |
Where Indiana sits
The same service costs 6.0 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· 45th of 51
$61.66
AK $209AL $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.