How much rates vary
Facilitymedian $2,138 · 10th to 90th $501 to $21,380Professionalmedian $295 · 10th to 90th $224 to $437
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 $223.87 Median $3,467.37 Typical High $5,011.87 | Facility | None | $223.87 | $3,467.37 | $5,011.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $223.87 Typical High $269.15 | Professional | None (both parts) | $208.93 | $223.87 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $165.96 Typical High $194.98 | Professional | 26 · Professional part | $154.88 | $165.96 | $194.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $61.66 Typical High $72.44 | Professional | TC · Technical part | $56.23 | $61.66 | $72.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $302.00 Median $23,988.33 Typical High $102,329.30 | Facility | None | $302.00 | $23,988.33 | $102,329.30 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $234.42 Median $302.00 Typical High $426.58 | Professional | None (both parts) | $234.42 | $302.00 | $426.58 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $223.87 Typical High $302.00 | Professional | 26 · Professional part | $144.54 | $223.87 | $302.00 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $77.62 Typical High $117.49 | Professional | TC · Technical part | $61.66 | $77.62 | $117.49 |
CareSource Setting Facility Modifier None Typical Low $56.23 Median $158.49 Typical High $218.78 | Facility | None | $56.23 | $158.49 | $218.78 |
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 $229.09 Median $288.40 Typical High $436.52 | Professional | None (both parts) | $229.09 | $288.40 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $204.17 Typical High $288.40 | Professional | 26 · Professional part | $165.96 | $204.17 | $288.40 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $77.62 Typical High $97.72 | Professional | TC · Technical part | $63.10 | $77.62 | $97.72 |
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 $251.19 Median $316.23 Typical High $363.08 | Professional | None (both parts) | $251.19 | $316.23 | $363.08 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $204.17 Typical High $281.84 | Professional | 26 · Professional part | $169.82 | $204.17 | $281.84 |
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 $218.78 Median $302.00 Typical High $467.74 | Professional | None (both parts) | $218.78 | $302.00 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $204.17 Typical High $323.59 | Professional | 26 · Professional part | $154.88 | $204.17 | $323.59 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $87.10 Typical High $141.25 | Professional | TC · Technical part | $58.88 | $87.10 | $141.25 |
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 $104.71 Median $112.20 Typical High $134.90 | Professional | 52 · Reduced service | $104.71 | $112.20 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $45.71 Typical High $53.70 | Professional | 53 · Discontinued | $41.69 | $45.71 | $53.70 |
Where Indiana sits
The same service costs 5.8 times more in Louisiana than in Alabama. 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· 40th of 51
$302
LA $1,288AL $224
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.