How much rates vary
Facilitymedian $5,012 · 10th to 90th $1,175 to $17,378Professionalmedian $1,288 · 10th to 90th $1,000 to $2,042
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 $1,174.90 Median $5,011.87 Typical High $17,782.79 | Facility | None | $1,174.90 | $5,011.87 | $17,782.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,174.90 Typical High $1,737.80 | Professional | None (both parts) | $1,023.29 | $1,174.90 | $1,737.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $316.23 Typical High $467.74 | Professional | 26 · Professional part | $302.00 | $316.23 | $467.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $851.14 Typical High $1,148.15 | Professional | TC · Technical part | $707.95 | $851.14 | $1,148.15 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $363.08 Typical High $457.09 | Professional | 26 · Professional part | $363.08 | $363.08 | $457.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,258.93 Median $7,762.47 Typical High $19,952.62 | Facility | None | $1,258.93 | $7,762.47 | $19,952.62 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $851.14 Median $1,000.00 Typical High $2,041.74 | Professional | None (both parts) | $851.14 | $1,000.00 | $2,041.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $446.68 Typical High $602.56 | Professional | 26 · Professional part | $275.42 | $446.68 | $602.56 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $1,047.13 Typical High $1,479.11 | Professional | TC · Technical part | $724.44 | $1,047.13 | $1,479.11 |
CareSource Setting Facility Modifier None Typical Low $309.03 Median $724.44 Typical High $1,047.13 | Facility | None | $309.03 | $724.44 | $1,047.13 |
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 $1,202.26 Median $1,445.44 Typical High $2,137.96 | Professional | None (both parts) | $1,202.26 | $1,445.44 | $2,137.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $457.09 Typical High $588.84 | Professional | 26 · Professional part | $316.23 | $457.09 | $588.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $1,023.29 Typical High $1,380.38 | Professional | TC · Technical part | $870.96 | $1,023.29 | $1,380.38 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $2,884.03 Typical High $4,265.80 | Facility | None | $912.01 | $2,884.03 | $4,265.80 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,479.11 Typical High $1,949.84 | Professional | None (both parts) | $1,174.90 | $1,479.11 | $1,949.84 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $398.11 Typical High $537.03 | Professional | 26 · Professional part | $309.03 | $398.11 | $537.03 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $1,071.52 Typical High $1,412.54 | Professional | TC · Technical part | $851.14 | $1,071.52 | $1,412.54 |
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 $1,047.13 Median $1,445.44 Typical High $2,238.72 | Professional | None (both parts) | $1,047.13 | $1,445.44 | $2,238.72 |
United Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $426.58 Typical High $676.08 | Professional | 26 · Professional part | $295.12 | $426.58 | $676.08 |
United Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $1,047.13 Typical High $1,621.81 | Professional | TC · Technical part | $741.31 | $1,047.13 | $1,621.81 |
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 $758.58 Median $891.25 Typical High $1,000.00 | Professional | 54 · Surgery only | $758.58 | $891.25 | $1,000.00 |
Where Indiana sits
The same service costs 4.0 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· 23rd of 51
$1,820
WI $4,467NY $1,122
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.