How much rates vary
Facilitymedian $631 · 10th to 90th $107 to $3,715Professionalmedian $257 · 10th to 90th $112 to $2,089
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 $112.20 Median $234.42 Typical High $275.42 | Facility | None | $112.20 | $234.42 | $275.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $112.20 Typical High $199.53 | Professional | None (both parts) | $109.65 | $112.20 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $61.66 Typical High $117.49 | Professional | 26 · Professional part | $52.48 | $61.66 | $117.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $58.88 Typical High $112.20 | Professional | TC · Technical part | $56.23 | $58.88 | $112.20 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $87.10 Typical High $112.20 | Professional | 26 · Professional part | $87.10 | $87.10 | $112.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $575.44 | Facility | None | $302.00 | $302.00 | $575.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $239.88 Median $302.00 Typical High $2,238.72 | Professional | None (both parts) | $239.88 | $302.00 | $2,238.72 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $91.20 Typical High $134.90 | Professional | 26 · Professional part | $67.61 | $91.20 | $134.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $208.93 Typical High $281.84 | Professional | TC · Technical part | $93.33 | $208.93 | $281.84 |
CareSource Setting Facility Modifier None Typical Low $52.48 Median $54.95 Typical High $107.15 | Facility | None | $52.48 | $54.95 | $107.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $208.93 Typical High $338.84 | Professional | None (both parts) | $112.20 | $208.93 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $95.50 Typical High $125.89 | Professional | 26 · Professional part | $53.70 | $95.50 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $104.71 Typical High $131.83 | Professional | TC · Technical part | $58.88 | $104.71 | $131.83 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $436.52 Median $954.99 Typical High $2,290.87 | Facility | None | $436.52 | $954.99 | $2,290.87 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $154.88 Median $194.98 Typical High $229.09 | Professional | None (both parts) | $154.88 | $194.98 | $229.09 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $69.18 Typical High $112.20 | Professional | 26 · Professional part | $52.48 | $69.18 | $112.20 |
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 $134.90 Median $199.53 Typical High $302.00 | Professional | None (both parts) | $134.90 | $199.53 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $83.18 Typical High $134.90 | Professional | 26 · Professional part | $50.12 | $83.18 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $112.20 Typical High $181.97 | Professional | TC · Technical part | $83.18 | $112.20 | $181.97 |
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 $53.70 Median $56.23 Typical High $67.61 | Professional | 52 · Reduced service | $53.70 | $56.23 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $22.39 Typical High $26.92 | Professional | 53 · Discontinued | $21.38 | $22.39 | $26.92 |
Where Indiana sits
The same service costs 3.8 times more in Wisconsin than in Virginia. 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· 4th of 51
$302
WI $417VA $110
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.