How much rates vary
Facilitymedian $204 · 10th to 90th $91 to $1,288Professionalmedian $91 · 10th to 90th $62 to $191
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $91.20 Median $107.15 Typical High $154.88 | Facility | None | $91.20 | $107.15 | $154.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $56.23 Median $95.50 Typical High $257.04 | Facility | TC · Technical part | $56.23 | $95.50 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $91.20 Typical High $104.71 | Professional | None (both parts) | $83.18 | $91.20 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $34.67 Typical High $38.02 | Professional | 26 · Professional part | $31.62 | $34.67 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $56.23 Typical High $64.57 | Professional | TC · Technical part | $51.29 | $56.23 | $64.57 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | None (both parts) | $72.44 | $72.44 | $72.44 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | 26 · Professional part | $19.95 | $19.95 | $19.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $61.66 Median $1,096.48 Typical High $1,479.11 | Facility | None | $61.66 | $1,096.48 | $1,479.11 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $61.66 Median $61.66 Typical High $109.65 | Professional | None (both parts) | $61.66 | $61.66 | $109.65 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $40.74 | Professional | 26 · Professional part | $22.39 | $22.39 | $40.74 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $39.81 Typical High $69.18 | Professional | TC · Technical part | $39.81 | $39.81 | $69.18 |
CareSource Setting Facility Modifier None Typical Low $43.65 Median $69.18 Typical High $112.20 | Facility | None | $43.65 | $69.18 | $112.20 |
CareSource Setting Professional Modifier None (both parts) Typical Low $39.81 Median $72.44 Typical High $131.83 | Professional | None (both parts) | $39.81 | $72.44 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $269.15 Typical High $281.84 | Facility | None | $64.57 | $269.15 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $112.20 Typical High $223.87 | Professional | None (both parts) | $63.10 | $112.20 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $41.69 Typical High $83.18 | Professional | 26 · Professional part | $23.44 | $41.69 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $64.57 Typical High $120.23 | Professional | TC · Technical part | $38.02 | $64.57 | $120.23 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $251.19 Median $316.23 Typical High $2,089.30 | Facility | None | $251.19 | $316.23 | $2,089.30 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $117.49 Median $158.49 Typical High $194.98 | Professional | None (both parts) | $117.49 | $158.49 | $194.98 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $57.54 Typical High $75.86 | Professional | 26 · Professional part | $43.65 | $57.54 | $75.86 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $97.72 Typical High $123.03 | Professional | TC · Technical part | $67.61 | $97.72 | $123.03 |
United Setting Professional Modifier None (both parts) Typical Low $72.44 Median $128.82 Typical High $218.78 | Professional | None (both parts) | $72.44 | $128.82 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $47.86 Typical High $83.18 | Professional | 26 · Professional part | $26.92 | $47.86 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $83.18 Typical High $141.25 | Professional | TC · Technical part | $46.77 | $83.18 | $141.25 |
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 $41.69 Median $45.71 Typical High $52.48 | Professional | 52 · Reduced service | $41.69 | $45.71 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $18.20 Typical High $20.89 | Professional | 53 · Discontinued | $16.60 | $18.20 | $20.89 |
Where Indiana sits
The same service costs 4.5 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
$105
AK $316AL $70.79
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.