How much rates vary
Facilitymedian $31 · 10th to 90th $25 to $155Professionalmedian $50 · 10th to 90th $21 to $120
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 $24.55 Median $29.51 Typical High $41.69 | Facility | None | $24.55 | $29.51 | $41.69 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $3.55 Median $4.27 Typical High $6.17 | Facility | 26 · Professional part | $3.55 | $4.27 | $6.17 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $20.89 Median $25.12 Typical High $35.48 | Facility | TC · Technical part | $20.89 | $25.12 | $35.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $24.55 Typical High $41.69 | Professional | None (both parts) | $23.44 | $24.55 | $41.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $3.24 Median $3.39 Typical High $5.62 | Professional | 26 · Professional part | $3.24 | $3.39 | $5.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $21.38 Typical High $34.67 | Professional | TC · Technical part | $20.42 | $21.38 | $34.67 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $23.44 Median $23.44 Typical High $33.11 | Professional | None (both parts) | $23.44 | $23.44 | $33.11 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $3.16 Median $3.47 Typical High $4.90 | Professional | 26 · Professional part | $3.16 | $3.47 | $4.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $131.83 | Facility | None | $67.61 | $67.61 | $131.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $22.39 Median $67.61 Typical High $91.20 | Professional | None (both parts) | $22.39 | $67.61 | $91.20 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $3.24 Median $7.08 Typical High $8.71 | Professional | 26 · Professional part | $3.24 | $7.08 | $8.71 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $60.26 Typical High $81.28 | Professional | TC · Technical part | $19.05 | $60.26 | $81.28 |
CareSource Setting Facility Modifier None Typical Low $3.16 Median $18.62 Typical High $21.38 | Facility | None | $3.16 | $18.62 | $21.38 |
CareSource Setting Professional Modifier None (both parts) Typical Low $2.88 Median $17.78 Typical High $24.55 | Professional | None (both parts) | $2.88 | $17.78 | $24.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $51.29 Typical High $173.78 | Professional | None (both parts) | $25.12 | $51.29 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $3.39 Median $5.01 Typical High $6.31 | Professional | 26 · Professional part | $3.39 | $5.01 | $6.31 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $45.71 Typical High $154.88 | Professional | TC · Technical part | $21.88 | $45.71 | $154.88 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $61.66 Median $912.01 Typical High $2,187.76 | Facility | None | $61.66 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $25.70 Median $31.62 Typical High $48.98 | Professional | None (both parts) | $25.70 | $31.62 | $48.98 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $3.47 Median $4.37 Typical High $6.76 | Professional | 26 · Professional part | $3.47 | $4.37 | $6.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $27.54 Typical High $41.69 | Professional | TC · Technical part | $21.88 | $27.54 | $41.69 |
United Setting Professional Modifier None (both parts) Typical Low $22.39 Median $33.11 Typical High $114.82 | Professional | None (both parts) | $22.39 | $33.11 | $114.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $2.95 Median $4.07 Typical High $6.61 | Professional | 26 · Professional part | $2.95 | $4.07 | $6.61 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $28.18 Typical High $102.33 | Professional | TC · Technical part | $19.50 | $28.18 | $102.33 |
3 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 $11.48 Median $12.30 Typical High $14.13 | Professional | 52 · Reduced service | $11.48 | $12.30 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $4.90 Typical High $5.62 | Professional | 53 · Discontinued | $4.57 | $4.90 | $5.62 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | 59 · Distinct service | $17.78 | $17.78 | $17.78 |
Where Indiana sits
The same service costs 2.9 times more in Kansas than in Maryland. 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· 7th of 51
$48.98
KS $74.13MD $25.70
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.