How much rates vary
Facilitymedian $5,754 · 10th to 90th $1,288 to $18,197Professionalmedian $1,023 · 10th to 90th $794 to $1,622
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 $1,348.96 Median $5,011.87 Typical High $18,197.01 | Facility | None | $1,348.96 | $5,011.87 | $18,197.01 |
Aetna Setting Professional Modifier None (both parts) Typical Low $812.83 Median $933.25 Typical High $1,122.02 | Professional | None (both parts) | $812.83 | $933.25 | $1,122.02 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $239.88 Typical High $295.12 | Professional | 26 · Professional part | $229.09 | $239.88 | $295.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $707.95 Typical High $812.83 | Professional | TC · Technical part | $588.84 | $707.95 | $812.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | 26 · Professional part | $263.03 | $263.03 | $263.03 |
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 $691.83 Median $812.83 Typical High $1,621.81 | Professional | None (both parts) | $691.83 | $812.83 | $1,621.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $346.74 Typical High $467.74 | Professional | 26 · Professional part | $213.80 | $346.74 | $467.74 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $831.76 Typical High $1,202.26 | Professional | TC · Technical part | $602.56 | $831.76 | $1,202.26 |
CareSource Setting Facility Modifier None Typical Low $234.42 Median $588.84 Typical High $831.76 | Facility | None | $234.42 | $588.84 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $1,995.26 Median $3,388.44 Typical High $18,197.01 | Facility | None | $1,995.26 | $3,388.44 | $18,197.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,122.02 Typical High $1,737.80 | Professional | None (both parts) | $912.01 | $1,122.02 | $1,737.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $354.81 Typical High $457.09 | Professional | 26 · Professional part | $239.88 | $354.81 | $457.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $794.33 Typical High $1,096.48 | Professional | TC · Technical part | $676.08 | $794.33 | $1,096.48 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $954.99 Median $3,019.95 Typical High $4,677.35 | Facility | None | $954.99 | $3,019.95 | $4,677.35 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,174.90 Typical High $1,584.89 | Professional | None (both parts) | $933.25 | $1,174.90 | $1,584.89 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $302.00 Typical High $407.38 | Professional | 26 · Professional part | $234.42 | $302.00 | $407.38 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $870.96 Typical High $1,148.15 | Professional | TC · Technical part | $691.83 | $870.96 | $1,148.15 |
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 $831.76 Median $1,148.15 Typical High $1,778.28 | Professional | None (both parts) | $831.76 | $1,148.15 | $1,778.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $323.59 Typical High $524.81 | Professional | 26 · Professional part | $223.87 | $323.59 | $524.81 |
United Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $851.14 Typical High $1,318.26 | Professional | TC · Technical part | $602.56 | $851.14 | $1,318.26 |
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 $602.56 Median $707.95 Typical High $794.33 | Professional | 54 · Surgery only | $602.56 | $707.95 | $794.33 |
Where Indiana sits
The same service costs 4.2 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· 24th of 51
$1,514
WI $3,631NY $871
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.