How much rates vary
Facilitymedian $912 · 10th to 90th $112 to $17,783Professionalmedian $251 · 10th to 90th $120 to $501
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 $5,011.87 Typical High $17,782.79 | Facility | None | $112.20 | $5,011.87 | $17,782.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $112.20 Typical High $173.78 | Professional | None (both parts) | $109.65 | $112.20 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $85.11 Typical High $128.82 | Professional | 26 · Professional part | $83.18 | $85.11 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $27.54 Typical High $43.65 | Professional | TC · Technical part | $26.30 | $27.54 | $43.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $251.19 Median $17,378.01 Typical High $107,151.93 | Facility | None | $251.19 | $17,378.01 | $107,151.93 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $141.25 Median $251.19 Typical High $354.81 | Professional | None (both parts) | $141.25 | $251.19 | $354.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $229.09 Typical High $323.59 | Professional | 26 · Professional part | $72.44 | $229.09 | $323.59 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $19.95 Typical High $30.90 | Professional | TC · Technical part | $16.98 | $19.95 | $30.90 |
CareSource Setting Facility Modifier None Typical Low $25.12 Median $81.28 Typical High $107.15 | Facility | None | $25.12 | $81.28 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $245.47 Typical High $2,754.23 | Facility | None | $125.89 | $245.47 | $2,754.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $229.09 Typical High $537.03 | Professional | None (both parts) | $128.82 | $229.09 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $138.04 Typical High $194.98 | Professional | 26 · Professional part | $95.50 | $138.04 | $194.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $47.86 Typical High $123.03 | Professional | TC · Technical part | $30.20 | $47.86 | $123.03 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $954.99 Typical High $2,290.87 | Facility | None | $912.01 | $954.99 | $2,290.87 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $2,187.76 Median $2,570.40 Typical High $3,090.30 | Professional | None (both parts) | $2,187.76 | $2,570.40 | $3,090.30 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $104.71 Typical High $141.25 | Professional | 26 · Professional part | $81.28 | $104.71 | $141.25 |
United Setting Facility Modifier None Typical Low $109.65 Median $812.83 Typical High $7,585.78 | Facility | None | $109.65 | $812.83 | $7,585.78 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $309.03 Typical High $3,162.28 | Professional | None (both parts) | $147.91 | $309.03 | $3,162.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $162.18 Typical High $263.03 | Professional | 26 · Professional part | $107.15 | $162.18 | $263.03 |
United Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $75.86 Typical High $2,951.21 | Professional | TC · Technical part | $36.31 | $75.86 | $2,951.21 |
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 $66.07 | Professional | 52 · Reduced service | $53.70 | $56.23 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $22.39 Typical High $26.30 | Professional | 53 · Discontinued | $21.38 | $22.39 | $26.30 |
Where Indiana sits
The same service costs 18.6 times more in Tennessee than in South Carolina. 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· 27th of 51
$251
TN $2,344SC $126
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.