How much rates vary
Facilitymedian $4,786 · 10th to 90th $1,047 to $17,378Professionalmedian $977 · 10th to 90th $724 to $1,549
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 $912.01 Median $1,096.48 Typical High $5,623.41 | Facility | None | $912.01 | $1,096.48 | $5,623.41 |
Aetna Setting Professional Modifier None (both parts) Typical Low $758.58 Median $912.01 Typical High $1,412.54 | Professional | None (both parts) | $758.58 | $912.01 | $1,412.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $134.90 Typical High $208.93 | Professional | 26 · Professional part | $131.83 | $134.90 | $208.93 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $776.25 Typical High $1,174.90 | Professional | TC · Technical part | $645.65 | $776.25 | $1,174.90 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $147.91 Typical High $177.83 | Professional | 26 · Professional part | $147.91 | $147.91 | $177.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,288.25 Median $7,762.47 Typical High $19,952.62 | Facility | None | $1,288.25 | $7,762.47 | $19,952.62 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $645.65 Median $794.33 Typical High $1,584.89 | Professional | None (both parts) | $645.65 | $794.33 | $1,584.89 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $199.53 Typical High $263.03 | Professional | 26 · Professional part | $117.49 | $199.53 | $263.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $851.14 Typical High $1,258.93 | Professional | TC · Technical part | $676.08 | $851.14 | $1,258.93 |
CareSource Setting Facility Modifier None Typical Low $131.83 Median $645.65 Typical High $776.25 | Facility | None | $131.83 | $645.65 | $776.25 |
CareSource Setting Professional Modifier None (both parts) Typical Low $131.83 Median $707.95 Typical High $1,000.00 | Professional | None (both parts) | $131.83 | $707.95 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $1,995.26 Median $3,019.95 Typical High $4,786.30 | Facility | None | $1,995.26 | $3,019.95 | $4,786.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,023.29 Typical High $1,513.56 | Professional | None (both parts) | $870.96 | $1,023.29 | $1,513.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $199.53 Typical High $263.03 | Professional | 26 · Professional part | $134.90 | $199.53 | $263.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $831.76 Typical High $1,122.02 | Professional | TC · Technical part | $758.58 | $831.76 | $1,122.02 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $2,290.87 Typical High $4,265.80 | Facility | None | $912.01 | $2,290.87 | $4,265.80 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,122.02 Typical High $1,513.56 | Professional | None (both parts) | $891.25 | $1,122.02 | $1,513.56 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $169.82 Typical High $229.09 | Professional | 26 · Professional part | $138.04 | $169.82 | $229.09 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $954.99 Typical High $1,288.25 | Professional | TC · Technical part | $758.58 | $954.99 | $1,288.25 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $4,570.88 Typical High $12,022.64 | Facility | None | $1,230.27 | $4,570.88 | $12,022.64 |
United Setting Professional Modifier None (both parts) Typical Low $758.58 Median $1,071.52 Typical High $1,659.59 | Professional | None (both parts) | $758.58 | $1,071.52 | $1,659.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $186.21 Typical High $295.12 | Professional | 26 · Professional part | $125.89 | $186.21 | $295.12 |
United Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $891.25 Typical High $1,380.38 | Professional | TC · Technical part | $630.96 | $891.25 | $1,380.38 |
1 more rate 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 54 · Surgery only Typical Low $562.34 Median $676.08 Typical High $758.58 | Professional | 54 · Surgery only | $562.34 | $676.08 | $758.58 |
Where Indiana sits
The same service costs 4.3 times more in Wisconsin than in New York. 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· 25th of 51
$1,349
WI $3,467NY $813
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.