How much rates vary
Facilitymedian $5,888 · 10th to 90th $1,514 to $15,849Professionalmedian $1,288 · 10th to 90th $851 to $1,995
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 $977.24 Median $1,479.11 Typical High $17,782.79 | Facility | None | $977.24 | $1,479.11 | $17,782.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $794.33 Median $851.14 Typical High $1,230.27 | Professional | None (both parts) | $794.33 | $851.14 | $1,230.27 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $602.56 Median $630.96 Typical High $954.99 | Professional | 26 · Professional part | $602.56 | $630.96 | $954.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $204.17 Typical High $302.00 | Professional | TC · Technical part | $186.21 | $204.17 | $302.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,168.69 Median $6,165.95 Typical High $23,988.33 | Facility | None | $4,168.69 | $6,165.95 | $23,988.33 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,380.38 Typical High $1,949.84 | Professional | None (both parts) | $1,000.00 | $1,380.38 | $1,949.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $549.54 Median $954.99 Typical High $1,288.25 | Professional | 26 · Professional part | $549.54 | $954.99 | $1,288.25 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $426.58 Typical High $616.60 | Professional | TC · Technical part | $346.74 | $426.58 | $616.60 |
CareSource Setting Facility Modifier None Typical Low $190.55 Median $616.60 Typical High $812.83 | Facility | None | $190.55 | $616.60 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $4,786.30 Median $7,079.46 Typical High $10,715.19 | Facility | None | $4,786.30 | $7,079.46 | $10,715.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $851.14 Median $1,318.26 Typical High $2,137.96 | Professional | None (both parts) | $851.14 | $1,318.26 | $2,137.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $645.65 Median $794.33 Typical High $1,122.02 | Professional | 26 · Professional part | $645.65 | $794.33 | $1,122.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $269.15 Typical High $676.08 | Professional | TC · Technical part | $204.17 | $269.15 | $676.08 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $3,090.30 Typical High $10,964.78 | Facility | None | $912.01 | $3,090.30 | $10,964.78 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,380.38 Typical High $1,621.81 | Professional | None (both parts) | $1,148.15 | $1,380.38 | $1,621.81 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $645.65 Median $794.33 Typical High $1,071.52 | Professional | 26 · Professional part | $645.65 | $794.33 | $1,071.52 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $5,128.61 Typical High $14,454.40 | Facility | None | $1,230.27 | $5,128.61 | $14,454.40 |
United Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,258.93 Typical High $2,089.30 | Professional | None (both parts) | $933.25 | $1,258.93 | $2,089.30 |
United Setting Professional Modifier 26 · Professional part Typical Low $602.56 Median $812.83 Typical High $1,258.93 | Professional | 26 · Professional part | $602.56 | $812.83 | $1,258.93 |
United Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $436.52 Typical High $794.33 | Professional | TC · Technical part | $302.00 | $436.52 | $794.33 |
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 $398.11 Median $426.58 Typical High $501.19 | Professional | 52 · Reduced service | $398.11 | $426.58 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $169.82 Typical High $199.53 | Professional | 53 · Discontinued | $158.49 | $169.82 | $199.53 |
Where Indiana sits
The same service costs 5.2 times more in Louisiana than in New York. 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· 35th of 51
$1,380
LA $4,677NY $891
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.