How much rates vary
Facilitymedian $2,138 · 10th to 90th $479 to $21,380Professionalmedian $204 · 10th to 90th $158 to $302
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 $162.18 Median $3,467.37 Typical High $5,011.87 | Facility | None | $162.18 | $3,467.37 | $5,011.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $162.18 Typical High $190.55 | Professional | None (both parts) | $151.36 | $162.18 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $117.49 Typical High $141.25 | Professional | 26 · Professional part | $109.65 | $117.49 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $44.67 Typical High $52.48 | Professional | TC · Technical part | $40.74 | $44.67 | $52.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $213.80 Median $23,988.33 Typical High $102,329.30 | Facility | None | $213.80 | $23,988.33 | $102,329.30 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $165.96 Median $213.80 Typical High $309.03 | Professional | None (both parts) | $165.96 | $213.80 | $309.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $162.18 Typical High $218.78 | Professional | 26 · Professional part | $102.33 | $162.18 | $218.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $53.70 Typical High $81.28 | Professional | TC · Technical part | $42.66 | $53.70 | $81.28 |
CareSource Setting Facility Modifier None Typical Low $40.74 Median $114.82 Typical High $154.88 | Facility | None | $40.74 | $114.82 | $154.88 |
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 $165.96 Median $204.17 Typical High $302.00 | Professional | None (both parts) | $165.96 | $204.17 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $144.54 Typical High $199.53 | Professional | 26 · Professional part | $120.23 | $144.54 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $53.70 Typical High $67.61 | Professional | TC · Technical part | $43.65 | $53.70 | $67.61 |
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 $177.83 Median $218.78 Typical High $257.04 | Professional | None (both parts) | $177.83 | $218.78 | $257.04 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $147.91 Typical High $199.53 | Professional | 26 · Professional part | $120.23 | $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 $151.36 Median $213.80 Typical High $331.13 | Professional | None (both parts) | $151.36 | $213.80 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $144.54 Typical High $234.42 | Professional | 26 · Professional part | $109.65 | $144.54 | $234.42 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $58.88 Typical High $93.33 | Professional | TC · Technical part | $40.74 | $58.88 | $93.33 |
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 $75.86 Median $81.28 Typical High $95.50 | Professional | 52 · Reduced service | $75.86 | $81.28 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $32.36 Typical High $38.90 | Professional | 53 · Discontinued | $30.20 | $32.36 | $38.90 |
Where Indiana sits
The same service costs 8.3 times more in Louisiana 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· 39th of 51
$214
LA $1,288HI $155
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.