How much rates vary
Facilitymedian $282 · 10th to 90th $129 to $1,288Professionalmedian $129 · 10th to 90th $51 to $229
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 $131.83 Median $158.49 Typical High $223.87 | Facility | None | $131.83 | $158.49 | $223.87 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $30.20 Median $34.67 Typical High $48.98 | Facility | 26 · Professional part | $30.20 | $34.67 | $48.98 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $104.71 Median $154.88 Typical High $446.68 | Facility | TC · Technical part | $104.71 | $154.88 | $446.68 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $128.82 Typical High $234.42 | Professional | None (both parts) | $120.23 | $128.82 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $30.20 Typical High $50.12 | Professional | 26 · Professional part | $28.84 | $30.20 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $97.72 Typical High $162.18 | Professional | TC · Technical part | $93.33 | $97.72 | $162.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $79.43 Median $162.18 Typical High $162.18 | Professional | None (both parts) | $79.43 | $162.18 | $162.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $20.89 Typical High $52.48 | Professional | 26 · Professional part | $17.38 | $20.89 | $52.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $51.29 Median $1,096.48 Typical High $1,584.89 | Facility | None | $51.29 | $1,096.48 | $1,584.89 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $162.18 | Professional | None (both parts) | $51.29 | $51.29 | $162.18 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $16.60 Typical High $35.48 | Professional | 26 · Professional part | $16.60 | $16.60 | $35.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $35.48 Typical High $125.89 | Professional | TC · Technical part | $35.48 | $35.48 | $125.89 |
CareSource Setting Facility Modifier None Typical Low $38.90 Median $125.89 Typical High $165.96 | Facility | None | $38.90 | $125.89 | $165.96 |
CareSource Setting Professional Modifier None (both parts) Typical Low $35.48 Median $131.83 Typical High $194.98 | Professional | None (both parts) | $35.48 | $131.83 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $281.84 Typical High $371.54 | Facility | None | $89.13 | $281.84 | $371.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $112.20 Typical High $239.88 | Professional | None (both parts) | $54.95 | $112.20 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $30.20 Typical High $72.44 | Professional | 26 · Professional part | $19.50 | $30.20 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $75.86 Typical High $181.97 | Professional | TC · Technical part | $35.48 | $75.86 | $181.97 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $295.12 Median $467.74 Typical High $2,089.30 | Facility | None | $295.12 | $467.74 | $2,089.30 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $173.78 Median $218.78 Typical High $295.12 | Professional | None (both parts) | $173.78 | $218.78 | $295.12 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $50.12 Typical High $66.07 | Professional | 26 · Professional part | $38.90 | $50.12 | $66.07 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $169.82 Typical High $229.09 | Professional | TC · Technical part | $125.89 | $169.82 | $229.09 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $162.18 Typical High $295.12 | Professional | None (both parts) | $97.72 | $162.18 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $39.81 Typical High $70.79 | Professional | 26 · Professional part | $23.44 | $39.81 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $123.03 Typical High $223.87 | Professional | TC · Technical part | $69.18 | $123.03 | $223.87 |
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 $60.26 Median $64.57 Typical High $74.13 | Professional | 52 · Reduced service | $60.26 | $64.57 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $25.70 Typical High $29.51 | Professional | 53 · Discontinued | $23.99 | $25.70 | $29.51 |
Where Indiana sits
The same service costs 7.1 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
$129
AK $417AL $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.