How much rates vary
Facilitymedian $4,786 · 10th to 90th $1,288 to $17,378Professionalmedian $1,318 · 10th to 90th $1,000 to $2,138
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 $1,318.26 Median $1,659.59 Typical High $17,378.01 | Facility | None | $1,318.26 | $1,659.59 | $17,378.01 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $338.84 Median $416.87 Typical High $562.34 | Facility | 26 · Professional part | $338.84 | $416.87 | $562.34 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $831.76 Median $977.24 Typical High $1,230.27 | Facility | TC · Technical part | $831.76 | $977.24 | $1,230.27 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,174.90 Typical High $1,819.70 | Professional | None (both parts) | $1,071.52 | $1,174.90 | $1,819.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $346.74 Typical High $537.03 | Professional | 26 · Professional part | $323.59 | $346.74 | $537.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $831.76 Typical High $1,230.27 | Professional | TC · Technical part | $741.31 | $831.76 | $1,230.27 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $446.68 Median $446.68 Typical High $501.19 | Professional | 26 · Professional part | $446.68 | $446.68 | $501.19 |
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 $1,995.26 | Professional | None (both parts) | $851.14 | $1,000.00 | $1,995.26 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $478.63 Typical High $645.65 | Professional | 26 · Professional part | $302.00 | $478.63 | $645.65 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $1,096.48 Typical High $1,479.11 | Professional | TC · Technical part | $707.95 | $1,096.48 | $1,479.11 |
CareSource Setting Facility Modifier None Typical Low $331.13 Median $691.83 Typical High $1,023.29 | Facility | None | $331.13 | $691.83 | $1,023.29 |
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 $1,548.82 Typical High $2,344.23 | Professional | None (both parts) | $1,202.26 | $1,548.82 | $2,344.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $489.78 Typical High $630.96 | Professional | 26 · Professional part | $338.84 | $489.78 | $630.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $1,047.13 Typical High $1,479.11 | Professional | TC · Technical part | $870.96 | $1,047.13 | $1,479.11 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $954.99 Median $3,090.30 Typical High $4,677.35 | Facility | None | $954.99 | $3,090.30 | $4,677.35 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,445.44 Typical High $1,949.84 | Professional | None (both parts) | $1,174.90 | $1,445.44 | $1,949.84 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $426.58 Typical High $575.44 | Professional | 26 · Professional part | $331.13 | $426.58 | $575.44 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $1,023.29 Typical High $1,380.38 | Professional | TC · Technical part | $812.83 | $1,023.29 | $1,380.38 |
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 $1,071.52 Median $1,513.56 Typical High $2,290.87 | Professional | None (both parts) | $1,071.52 | $1,513.56 | $2,290.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $457.09 Typical High $724.44 | Professional | 26 · Professional part | $316.23 | $457.09 | $724.44 |
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 $776.25 Median $870.96 Typical High $1,000.00 | Professional | 54 · Surgery only | $776.25 | $870.96 | $1,000.00 |
Where Indiana sits
The same service costs 3.8 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 $1,175
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.