How much rates vary
Facilitymedian $112 · 10th to 90th $66 to $282Professionalmedian $66 · 10th to 90th $32 to $129
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 $72.44 Median $97.72 Typical High $125.89 | Facility | None | $72.44 | $97.72 | $125.89 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $21.38 Median $28.18 Typical High $37.15 | Facility | 26 · Professional part | $21.38 | $28.18 | $37.15 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $51.29 Median $77.62 Typical High $117.49 | Facility | TC · Technical part | $51.29 | $77.62 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $67.61 Typical High $125.89 | Professional | None (both parts) | $66.07 | $67.61 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $21.88 Typical High $37.15 | Professional | 26 · Professional part | $20.89 | $21.88 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $44.67 Typical High $81.28 | Professional | TC · Technical part | $44.67 | $44.67 | $81.28 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $43.65 Median $89.13 Typical High $89.13 | Professional | None (both parts) | $43.65 | $89.13 | $89.13 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $12.88 Typical High $38.90 | Professional | 26 · Professional part | $12.88 | $12.88 | $38.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $31.62 Median $61.66 Typical High $354.81 | Facility | None | $31.62 | $61.66 | $354.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $31.62 Median $31.62 Typical High $89.13 | Professional | None (both parts) | $31.62 | $31.62 | $89.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $10.47 Typical High $25.70 | Professional | 26 · Professional part | $10.47 | $10.47 | $25.70 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $20.89 Typical High $63.10 | Professional | TC · Technical part | $20.89 | $20.89 | $63.10 |
CareSource Setting Facility Modifier None Typical Low $28.18 Median $64.57 Typical High $93.33 | Facility | None | $28.18 | $64.57 | $93.33 |
CareSource Setting Professional Modifier None (both parts) Typical Low $25.70 Median $67.61 Typical High $109.65 | Professional | None (both parts) | $25.70 | $67.61 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $87.10 Typical High $190.55 | Facility | None | $43.65 | $87.10 | $190.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $66.07 Typical High $141.25 | Professional | None (both parts) | $31.62 | $66.07 | $141.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $20.89 Typical High $53.70 | Professional | 26 · Professional part | $10.72 | $20.89 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $44.67 Typical High $91.20 | Professional | TC · Technical part | $20.89 | $44.67 | $91.20 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $158.49 Median $263.03 Typical High $2,089.30 | Facility | None | $158.49 | $263.03 | $2,089.30 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $85.11 Median $117.49 Typical High $154.88 | Professional | None (both parts) | $85.11 | $117.49 | $154.88 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $38.02 Typical High $48.98 | Professional | 26 · Professional part | $28.18 | $38.02 | $48.98 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $81.28 Typical High $112.20 | Professional | TC · Technical part | $61.66 | $81.28 | $112.20 |
United Setting Professional Modifier None (both parts) Typical Low $52.48 Median $89.13 Typical High $158.49 | Professional | None (both parts) | $52.48 | $89.13 | $158.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $29.51 Typical High $50.12 | Professional | 26 · Professional part | $16.98 | $29.51 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $58.88 Typical High $107.15 | Professional | TC · Technical part | $35.48 | $58.88 | $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 $33.11 Median $33.11 Typical High $39.81 | Professional | 52 · Reduced service | $33.11 | $33.11 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.18 Typical High $15.85 | Professional | 53 · Discontinued | $13.18 | $13.18 | $15.85 |
Where Indiana sits
The same service costs 5.9 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· 50th of 51
$67.61
AK $347AL $58.88
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.