How much rates vary
Facilitymedian $646 · 10th to 90th $129 to $4,266Professionalmedian $347 · 10th to 90th $263 to $513
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 $302.00 Median $398.11 Typical High $5,011.87 | Facility | None | $302.00 | $398.11 | $5,011.87 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $104.71 Median $117.49 Typical High $162.18 | Facility | 26 · Professional part | $104.71 | $117.49 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $269.15 Typical High $407.38 | Professional | None (both parts) | $257.04 | $269.15 | $407.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $100.00 Typical High $154.88 | Professional | 26 · Professional part | $91.20 | $100.00 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $173.78 Typical High $257.04 | Professional | TC · Technical part | $165.96 | $173.78 | $257.04 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $109.65 Typical High $128.82 | Professional | 26 · Professional part | $104.71 | $109.65 | $128.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $346.74 Median $660.69 Typical High $50,118.72 | Facility | None | $346.74 | $660.69 | $50,118.72 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $275.42 Median $346.74 Typical High $512.86 | Professional | None (both parts) | $275.42 | $346.74 | $512.86 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $125.89 Typical High $169.82 | Professional | 26 · Professional part | $85.11 | $125.89 | $169.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $218.78 Typical High $331.13 | Professional | TC · Technical part | $173.78 | $218.78 | $331.13 |
CareSource Setting Facility Modifier None Typical Low $95.50 Median $162.18 Typical High $257.04 | Facility | None | $95.50 | $162.18 | $257.04 |
CareSource Setting Professional Modifier None (both parts) Typical Low $95.50 Median $173.78 Typical High $323.59 | Professional | None (both parts) | $95.50 | $173.78 | $323.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $346.74 Typical High $512.86 | Professional | None (both parts) | $269.15 | $346.74 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $123.03 Typical High $162.18 | Professional | 26 · Professional part | $97.72 | $123.03 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $218.78 Typical High $263.03 | Professional | TC · Technical part | $173.78 | $218.78 | $263.03 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $831.76 Median $954.99 Typical High $2,290.87 | Facility | None | $831.76 | $954.99 | $2,290.87 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $309.03 Median $380.19 Typical High $446.68 | Professional | None (both parts) | $309.03 | $380.19 | $446.68 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $123.03 Typical High $165.96 | Professional | 26 · Professional part | $100.00 | $123.03 | $165.96 |
United Setting Facility Modifier None Typical Low $109.65 Median $812.83 Typical High $4,168.69 | Facility | None | $109.65 | $812.83 | $4,168.69 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $363.08 Typical High $562.34 | Professional | None (both parts) | $257.04 | $363.08 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $120.23 Typical High $190.55 | Professional | 26 · Professional part | $91.20 | $120.23 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $234.42 Typical High $371.54 | Professional | TC · Technical part | $169.82 | $234.42 | $371.54 |
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 $128.82 Median $134.90 Typical High $162.18 | Professional | 52 · Reduced service | $128.82 | $134.90 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $53.70 Typical High $64.57 | Professional | 53 · Discontinued | $51.29 | $53.70 | $64.57 |
Where Indiana sits
The same service costs 6.5 times more in Wisconsin than in Hawaii. 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· 27th of 51
$347
WI $891HI $138
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.