How much rates vary
Facilitymedian $2,089 · 10th to 90th $309 to $20,417Professionalmedian $251 · 10th to 90th $191 to $372
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 $199.53 Median $5,011.87 Typical High $17,782.79 | Facility | None | $199.53 | $5,011.87 | $17,782.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $199.53 Typical High $234.42 | Professional | None (both parts) | $181.97 | $199.53 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $120.23 Typical High $144.54 | Professional | 26 · Professional part | $112.20 | $120.23 | $144.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $77.62 Typical High $91.20 | Professional | TC · Technical part | $70.79 | $77.62 | $91.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $269.15 Median $23,988.33 Typical High $102,329.30 | Facility | None | $269.15 | $23,988.33 | $102,329.30 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $269.15 Typical High $380.19 | Professional | None (both parts) | $199.53 | $269.15 | $380.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $173.78 Typical High $234.42 | Professional | 26 · Professional part | $104.71 | $173.78 | $234.42 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $93.33 Typical High $141.25 | Professional | TC · Technical part | $75.86 | $93.33 | $141.25 |
CareSource Setting Facility Modifier None Typical Low $70.79 Median $114.82 Typical High $186.21 | Facility | None | $70.79 | $114.82 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $309.03 Typical High $1,318.26 | Facility | None | $194.98 | $309.03 | $1,318.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $245.47 Typical High $363.08 | Professional | None (both parts) | $199.53 | $245.47 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $147.91 Typical High $208.93 | Professional | 26 · Professional part | $120.23 | $147.91 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $95.50 Typical High $120.23 | Professional | TC · Technical part | $77.62 | $95.50 | $120.23 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $2,187.76 Typical High $10,964.78 | Facility | None | $912.01 | $2,187.76 | $10,964.78 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $218.78 Median $263.03 Typical High $309.03 | Professional | None (both parts) | $218.78 | $263.03 | $309.03 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $147.91 Typical High $199.53 | Professional | 26 · Professional part | $114.82 | $147.91 | $199.53 |
United Setting Facility Modifier None Typical Low $512.86 Median $1,949.84 Typical High $7,079.46 | Facility | None | $512.86 | $1,949.84 | $7,079.46 |
United Setting Professional Modifier None (both parts) Typical Low $181.97 Median $257.04 Typical High $398.11 | Professional | None (both parts) | $181.97 | $257.04 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $147.91 Typical High $234.42 | Professional | 26 · Professional part | $112.20 | $147.91 | $234.42 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $104.71 Typical High $154.88 | Professional | TC · Technical part | $70.79 | $104.71 | $154.88 |
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 $91.20 Median $100.00 Typical High $117.49 | Professional | 52 · Reduced service | $91.20 | $100.00 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $39.81 Typical High $46.77 | Professional | 53 · Discontinued | $36.31 | $39.81 | $46.77 |
Where Indiana sits
The same service costs 30.2 times more in Oklahoma than in Hawaii. 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· 38th of 51
$269
OK $4,786HI $158
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.