How much rates vary
Facilitymedian $617 · 10th to 90th $123 to $3,715Professionalmedian $331 · 10th to 90th $214 to $1,905
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 $208.93 Median $316.23 Typical High $467.74 | Facility | None | $208.93 | $316.23 | $467.74 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $104.71 Median $117.49 Typical High $162.18 | Facility | 26 · Professional part | $104.71 | $117.49 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $208.93 Typical High $398.11 | Professional | None (both parts) | $199.53 | $208.93 | $398.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $85.11 Typical High $147.91 | Professional | 26 · Professional part | $72.44 | $85.11 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $134.90 Typical High $245.47 | Professional | TC · Technical part | $128.82 | $134.90 | $245.47 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $109.65 Typical High $128.82 | Professional | 26 · Professional part | $104.71 | $109.65 | $128.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $630.96 | Facility | None | $331.13 | $331.13 | $630.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $213.80 Median $331.13 Typical High $2,238.72 | Professional | None (both parts) | $213.80 | $331.13 | $2,238.72 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $114.82 Typical High $162.18 | Professional | 26 · Professional part | $85.11 | $114.82 | $162.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $213.80 Typical High $331.13 | Professional | TC · Technical part | $169.82 | $213.80 | $331.13 |
CareSource Setting Facility Modifier None Typical Low $72.44 Median $123.03 Typical High $194.98 | Facility | None | $72.44 | $123.03 | $194.98 |
CareSource Setting Professional Modifier None (both parts) Typical Low $72.44 Median $131.83 Typical High $251.19 | Professional | None (both parts) | $72.44 | $131.83 | $251.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $338.84 Typical High $512.86 | Professional | None (both parts) | $208.93 | $338.84 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $114.82 Typical High $158.49 | Professional | 26 · Professional part | $74.13 | $114.82 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $218.78 Typical High $251.19 | Professional | TC · Technical part | $131.83 | $218.78 | $251.19 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $831.76 Median $954.99 Typical High $2,290.87 | Facility | None | $831.76 | $954.99 | $2,290.87 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $295.12 Median $380.19 Typical High $436.52 | Professional | None (both parts) | $295.12 | $380.19 | $436.52 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $97.72 Typical High $141.25 | Professional | 26 · Professional part | $75.86 | $97.72 | $141.25 |
United Setting Facility Modifier None Typical Low $109.65 Median $812.83 Typical High $4,168.69 | Facility | None | $109.65 | $812.83 | $4,168.69 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $346.74 Typical High $562.34 | Professional | None (both parts) | $257.04 | $346.74 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $109.65 Typical High $165.96 | Professional | 26 · Professional part | $69.18 | $109.65 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $245.47 Typical High $407.38 | Professional | TC · Technical part | $169.82 | $245.47 | $407.38 |
2 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 $97.72 Median $104.71 Typical High $123.03 | Professional | 52 · Reduced service | $97.72 | $104.71 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $41.69 Typical High $48.98 | Professional | 53 · Discontinued | $38.90 | $41.69 | $48.98 |
Where Indiana sits
The same service costs 4.3 times more in Wisconsin than in Oregon. 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· 22nd of 51
$331
WI $776OR $182
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.