How much rates vary
Facilitymedian $219 · 10th to 90th $135 to $692Professionalmedian $126 · 10th to 90th $74 to $251
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 $138.04 Median $194.98 Typical High $229.09 | Facility | None | $138.04 | $194.98 | $229.09 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $33.88 Median $48.98 Typical High $56.23 | Facility | 26 · Professional part | $33.88 | $48.98 | $56.23 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $104.71 Median $147.91 Typical High $467.74 | Facility | TC · Technical part | $104.71 | $147.91 | $467.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $138.04 Typical High $218.78 | Professional | None (both parts) | $123.03 | $138.04 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $33.88 Typical High $53.70 | Professional | 26 · Professional part | $31.62 | $33.88 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $104.71 Typical High $120.23 | Professional | TC · Technical part | $91.20 | $104.71 | $120.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None (both parts) | $77.62 | $77.62 | $77.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $77.62 Median $524.81 Typical High $724.44 | Facility | None | $77.62 | $524.81 | $724.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $74.13 Median $77.62 Typical High $199.53 | Professional | None (both parts) | $74.13 | $77.62 | $199.53 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $70.79 | Professional | 26 · Professional part | $22.39 | $22.39 | $70.79 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $54.95 Typical High $154.88 | Professional | TC · Technical part | $54.95 | $54.95 | $154.88 |
CareSource Setting Facility Modifier None Typical Low $42.66 Median $125.89 Typical High $165.96 | Facility | None | $42.66 | $125.89 | $165.96 |
CareSource Setting Professional Modifier None (both parts) Typical Low $38.90 Median $128.82 Typical High $194.98 | Professional | None (both parts) | $38.90 | $128.82 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $144.54 Typical High $371.54 | Facility | None | $89.13 | $144.54 | $371.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $158.49 Typical High $281.84 | Professional | None (both parts) | $60.26 | $158.49 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $39.81 Typical High $95.50 | Professional | 26 · Professional part | $22.39 | $39.81 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $64.57 Typical High $245.47 | Professional | TC · Technical part | $27.54 | $64.57 | $245.47 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $302.00 Median $478.63 Typical High $2,089.30 | Facility | None | $302.00 | $478.63 | $2,089.30 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $131.83 Median $223.87 Typical High $281.84 | Professional | None (both parts) | $131.83 | $223.87 | $281.84 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $56.23 Typical High $70.79 | Professional | 26 · Professional part | $42.66 | $56.23 | $70.79 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $165.96 Typical High $213.80 | Professional | TC · Technical part | $61.66 | $165.96 | $213.80 |
United Setting Professional Modifier None (both parts) Typical Low $102.33 Median $169.82 Typical High $309.03 | Professional | None (both parts) | $102.33 | $169.82 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $50.12 Typical High $81.28 | Professional | 26 · Professional part | $26.30 | $50.12 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $125.89 Typical High $229.09 | Professional | TC · Technical part | $75.86 | $125.89 | $229.09 |
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 $61.66 Median $69.18 Typical High $109.65 | Professional | 52 · Reduced service | $61.66 | $69.18 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $27.54 Typical High $43.65 | Professional | 53 · Discontinued | $24.55 | $27.54 | $43.65 |
Where Indiana sits
The same service costs 4.9 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· 44th of 51
$138
AK $468AL $95.50
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.