How much rates vary
Facilitymedian $339 · 10th to 90th $240 to $2,239Professionalmedian $257 · 10th to 90th $195 to $380
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 $239.88 Median $275.42 Typical High $338.84 | Facility | None | $239.88 | $275.42 | $338.84 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $67.61 Median $77.62 Typical High $107.15 | Facility | 26 · Professional part | $67.61 | $77.62 | $107.15 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $165.96 Median $194.98 Typical High $281.84 | Facility | TC · Technical part | $165.96 | $194.98 | $281.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $234.42 Typical High $316.23 | Professional | None (both parts) | $213.80 | $234.42 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $66.07 Typical High $81.28 | Professional | 26 · Professional part | $61.66 | $66.07 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $165.96 Typical High $204.17 | Professional | TC · Technical part | $151.36 | $165.96 | $204.17 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $165.96 Median $218.78 Typical High $218.78 | Professional | None (both parts) | $165.96 | $218.78 | $218.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $87.10 | Professional | 26 · Professional part | $61.66 | $61.66 | $87.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $281.84 Median $1,659.59 Typical High $2,818.38 | Facility | None | $281.84 | $1,659.59 | $2,818.38 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $204.17 Median $281.84 Typical High $371.54 | Professional | None (both parts) | $204.17 | $281.84 | $371.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $95.50 Typical High $117.49 | Professional | 26 · Professional part | $58.88 | $95.50 | $117.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $186.21 Typical High $245.47 | Professional | TC · Technical part | $144.54 | $186.21 | $245.47 |
CareSource Setting Facility Modifier None Typical Low $61.66 Median $144.54 Typical High $208.93 | Facility | None | $61.66 | $144.54 | $208.93 |
CareSource Setting Professional Modifier None (both parts) Typical Low $56.23 Median $138.04 Typical High $223.87 | Professional | None (both parts) | $56.23 | $138.04 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $263.03 Typical High $407.38 | Professional | None (both parts) | $229.09 | $263.03 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $83.18 Typical High $109.65 | Professional | 26 · Professional part | $66.07 | $83.18 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $186.21 Typical High $263.03 | Professional | TC · Technical part | $154.88 | $186.21 | $263.03 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $588.84 Median $912.01 Typical High $2,187.76 | Facility | None | $588.84 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $239.88 Median $295.12 Typical High $436.52 | Professional | None (both parts) | $239.88 | $295.12 | $436.52 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $85.11 Typical High $123.03 | Professional | 26 · Professional part | $67.61 | $85.11 | $123.03 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $208.93 Typical High $309.03 | Professional | TC · Technical part | $165.96 | $208.93 | $309.03 |
United Setting Professional Modifier None (both parts) Typical Low $204.17 Median $239.88 Typical High $446.68 | Professional | None (both parts) | $204.17 | $239.88 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $72.44 Typical High $131.83 | Professional | 26 · Professional part | $57.54 | $72.44 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $173.78 Typical High $309.03 | Professional | TC · Technical part | $141.25 | $173.78 | $309.03 |
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 $107.15 Median $117.49 Typical High $134.90 | Professional | 52 · Reduced service | $107.15 | $117.49 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $46.77 Typical High $53.70 | Professional | 53 · Discontinued | $43.65 | $46.77 | $53.70 |
Where Indiana sits
The same service costs 3.5 times more in Alaska than in Utah. 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· 31st of 51
$263
AK $562UT $158
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.