How much rates vary
Facilitymedian $4,786 · 10th to 90th $1,288 to $17,378Professionalmedian $1,479 · 10th to 90th $1,122 to $2,344
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 $1,380.38 Median $1,778.28 Typical High $14,791.08 | Facility | None | $1,380.38 | $1,778.28 | $14,791.08 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $380.19 Median $467.74 Typical High $645.65 | Facility | 26 · Professional part | $380.19 | $467.74 | $645.65 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $912.01 Median $1,071.52 Typical High $1,479.11 | Facility | TC · Technical part | $912.01 | $1,071.52 | $1,479.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,318.26 Typical High $2,041.74 | Professional | None (both parts) | $1,148.15 | $1,318.26 | $2,041.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $398.11 Typical High $588.84 | Professional | 26 · Professional part | $363.08 | $398.11 | $588.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $912.01 Typical High $1,348.96 | Professional | TC · Technical part | $794.33 | $912.01 | $1,348.96 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $436.52 Median $436.52 Typical High $501.19 | Professional | 26 · Professional part | $436.52 | $436.52 | $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 $954.99 Median $1,122.02 Typical High $2,238.72 | Professional | None (both parts) | $954.99 | $1,122.02 | $2,238.72 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $537.03 Typical High $724.44 | Professional | 26 · Professional part | $331.13 | $537.03 | $724.44 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $1,174.90 Typical High $1,584.89 | Professional | TC · Technical part | $776.25 | $1,174.90 | $1,584.89 |
CareSource Setting Facility Modifier None Typical Low $371.54 Median $776.25 Typical High $1,148.15 | Facility | None | $371.54 | $776.25 | $1,148.15 |
CareSource Setting Professional Modifier None (both parts) Typical Low $371.54 Median $851.14 Typical High $1,479.11 | Professional | None (both parts) | $371.54 | $851.14 | $1,479.11 |
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 $1,348.96 Median $1,659.59 Typical High $2,511.89 | Professional | None (both parts) | $1,348.96 | $1,659.59 | $2,511.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $380.19 Median $549.54 Typical High $707.95 | Professional | 26 · Professional part | $380.19 | $549.54 | $707.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $977.24 Median $1,122.02 Typical High $1,548.82 | Professional | TC · Technical part | $977.24 | $1,122.02 | $1,548.82 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $954.99 Median $3,388.44 Typical High $4,677.35 | Facility | None | $954.99 | $3,388.44 | $4,677.35 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,621.81 Typical High $2,137.96 | Professional | None (both parts) | $1,288.25 | $1,621.81 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $389.05 Median $478.63 Typical High $645.65 | Professional | 26 · Professional part | $389.05 | $478.63 | $645.65 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $1,148.15 Typical High $1,513.56 | Professional | TC · Technical part | $912.01 | $1,148.15 | $1,513.56 |
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 $1,202.26 Median $1,659.59 Typical High $2,511.89 | Professional | None (both parts) | $1,202.26 | $1,659.59 | $2,511.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $501.19 Typical High $812.83 | Professional | 26 · Professional part | $354.81 | $501.19 | $812.83 |
United Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $1,148.15 Typical High $1,778.28 | Professional | TC · Technical part | $831.76 | $1,148.15 | $1,778.28 |
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 $851.14 Median $977.24 Typical High $1,096.48 | Professional | 54 · Surgery only | $851.14 | $977.24 | $1,096.48 |
Where Indiana sits
The same service costs 3.9 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
$1,950
WI $4,898NY $1,259
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.