How much rates vary
Facilitymedian $5,754 · 10th to 90th $871 to $15,136Professionalmedian $724 · 10th to 90th $457 to $1,202
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 $794.33 Median $831.76 Typical High $5,623.41 | Facility | None | $794.33 | $831.76 | $5,623.41 |
Aetna Setting Professional Modifier None (both parts) Typical Low $602.56 Median $676.08 Typical High $831.76 | Professional | None (both parts) | $602.56 | $676.08 | $831.76 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $234.42 Typical High $281.84 | Professional | 26 · Professional part | $218.78 | $234.42 | $281.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $446.68 Typical High $524.81 | Professional | TC · Technical part | $371.54 | $446.68 | $524.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,230.27 Median $7,762.47 Typical High $17,378.01 | Facility | None | $1,230.27 | $7,762.47 | $17,378.01 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $457.09 Median $602.56 Typical High $1,202.26 | Professional | None (both parts) | $457.09 | $602.56 | $1,202.26 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $338.84 Typical High $457.09 | Professional | 26 · Professional part | $204.17 | $338.84 | $457.09 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $707.95 Typical High $954.99 | Professional | TC · Technical part | $398.11 | $707.95 | $954.99 |
CareSource Setting Facility Modifier None Typical Low $229.09 Median $371.54 Typical High $602.56 | Facility | None | $229.09 | $371.54 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,318.26 Typical High $27,542.29 | Facility | None | $512.86 | $1,318.26 | $27,542.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $724.44 Typical High $1,318.26 | Professional | None (both parts) | $380.19 | $724.44 | $1,318.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $302.00 Typical High $602.56 | Professional | 26 · Professional part | $229.09 | $302.00 | $602.56 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $478.63 Typical High $933.25 | Professional | TC · Technical part | $97.72 | $478.63 | $933.25 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $1,862.09 Typical High $4,570.88 | Facility | None | $912.01 | $1,862.09 | $4,570.88 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $676.08 Median $851.14 Typical High $1,174.90 | Professional | None (both parts) | $676.08 | $851.14 | $1,174.90 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $295.12 Typical High $398.11 | Professional | 26 · Professional part | $239.88 | $295.12 | $398.11 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $549.54 Typical High $776.25 | Professional | TC · Technical part | $436.52 | $549.54 | $776.25 |
United Setting Facility Modifier None Typical Low $870.96 Median $4,168.69 Typical High $9,120.11 | Facility | None | $870.96 | $4,168.69 | $9,120.11 |
United Setting Professional Modifier None (both parts) Typical Low $562.34 Median $851.14 Typical High $1,380.38 | Professional | None (both parts) | $562.34 | $851.14 | $1,380.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $295.12 Typical High $446.68 | Professional | 26 · Professional part | $213.80 | $295.12 | $446.68 |
United Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $575.44 Typical High $933.25 | Professional | TC · Technical part | $389.05 | $575.44 | $933.25 |
5 more rates 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 52 · Reduced service Typical Low $302.00 Median $338.84 Typical High $380.19 | Professional | 52 · Reduced service | $302.00 | $338.84 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $134.90 Typical High $154.88 | Professional | 53 · Discontinued | $120.23 | $134.90 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $501.19 Typical High $575.44 | Professional | 54 · Surgery only | $446.68 | $501.19 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $102.33 Typical High $114.82 | Professional | 55 · Aftercare only | $89.13 | $102.33 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $67.61 Typical High $75.86 | Professional | 56 · Pre-op care only | $60.26 | $67.61 | $75.86 |
Where Indiana sits
The same service costs 4.4 times more in Wisconsin than in Texas. 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· 26th of 51
$1,023
WI $2,630TX $603
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.