How much rates vary
Facilitymedian $234 · 10th to 90th $162 to $2,239Professionalmedian $151 · 10th to 90th $129 to $234
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 $162.18 Median $190.55 Typical High $234.42 | Facility | None | $162.18 | $190.55 | $234.42 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $38.90 Median $44.67 Typical High $54.95 | Facility | 26 · Professional part | $38.90 | $44.67 | $54.95 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $125.89 Median $144.54 Typical High $208.93 | Facility | TC · Technical part | $125.89 | $144.54 | $208.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $162.18 Typical High $234.42 | Professional | None (both parts) | $144.54 | $162.18 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $38.90 Typical High $53.70 | Professional | 26 · Professional part | $35.48 | $38.90 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $125.89 Typical High $151.36 | Professional | TC · Technical part | $107.15 | $125.89 | $151.36 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $151.36 | $151.36 | $151.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $151.36 Median $1,659.59 Typical High $2,818.38 | Facility | None | $151.36 | $1,659.59 | $2,818.38 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $120.23 Median $151.36 Typical High $199.53 | Professional | None (both parts) | $120.23 | $151.36 | $199.53 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $57.54 Typical High $70.79 | Professional | 26 · Professional part | $33.88 | $57.54 | $70.79 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $93.33 Typical High $125.89 | Professional | TC · Technical part | $79.43 | $93.33 | $125.89 |
CareSource Setting Facility Modifier None Typical Low $36.31 Median $109.65 Typical High $144.54 | Facility | None | $36.31 | $109.65 | $144.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $165.96 Typical High $257.04 | Professional | None (both parts) | $141.25 | $165.96 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $47.86 Typical High $66.07 | Professional | 26 · Professional part | $38.90 | $47.86 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $114.82 Typical High $173.78 | Professional | TC · Technical part | $91.20 | $114.82 | $173.78 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $407.38 Median $912.01 Typical High $2,187.76 | Facility | None | $407.38 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $158.49 Median $208.93 Typical High $302.00 | Professional | None (both parts) | $158.49 | $208.93 | $302.00 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $48.98 Typical High $70.79 | Professional | 26 · Professional part | $39.81 | $48.98 | $70.79 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $158.49 Typical High $229.09 | Professional | TC · Technical part | $120.23 | $158.49 | $229.09 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $162.18 Typical High $281.84 | Professional | None (both parts) | $128.82 | $162.18 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $41.69 Typical High $75.86 | Professional | 26 · Professional part | $33.11 | $41.69 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $120.23 Typical High $213.80 | Professional | TC · Technical part | $91.20 | $120.23 | $213.80 |
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 $72.44 Median $81.28 Typical High $93.33 | Professional | 52 · Reduced service | $72.44 | $81.28 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $33.11 Typical High $38.02 | Professional | 53 · Discontinued | $29.51 | $33.11 | $38.02 |
Where Indiana sits
The same service costs 3.0 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· 46th of 51
$151
AK $380UT $129
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.