How much rates vary
Facilitymedian $1,072 · 10th to 90th $129 to $17,783Professionalmedian $355 · 10th to 90th $200 to $646
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 $229.09 Median $5,011.87 Typical High $17,782.79 | Facility | None | $229.09 | $5,011.87 | $17,782.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $229.09 Typical High $275.42 | Professional | None (both parts) | $213.80 | $229.09 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $173.78 Typical High $208.93 | Professional | 26 · Professional part | $165.96 | $173.78 | $208.93 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $56.23 Typical High $66.07 | Professional | TC · Technical part | $51.29 | $56.23 | $66.07 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | 26 · Professional part | $186.21 | $186.21 | $186.21 |
Anthem BCBS Setting Facility Modifier None Typical Low $354.81 Median $17,378.01 Typical High $107,151.93 | Facility | None | $354.81 | $17,378.01 | $107,151.93 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $354.81 Typical High $501.19 | Professional | None (both parts) | $199.53 | $354.81 | $501.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $338.84 Typical High $478.63 | Professional | 26 · Professional part | $151.36 | $338.84 | $478.63 |
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 $51.29 Median $169.82 Typical High $223.87 | Facility | None | $51.29 | $169.82 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $354.81 Typical High $794.33 | Professional | None (both parts) | $234.42 | $354.81 | $794.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $223.87 Typical High $371.54 | Professional | 26 · Professional part | $173.78 | $223.87 | $371.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $70.79 Typical High $208.93 | Professional | TC · Technical part | $56.23 | $70.79 | $208.93 |
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 $2,570.40 Median $2,630.27 Typical High $3,090.30 | Professional | None (both parts) | $2,570.40 | $2,630.27 | $3,090.30 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $218.78 Typical High $295.12 | Professional | 26 · Professional part | $177.83 | $218.78 | $295.12 |
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 $199.53 Median $407.38 Typical High $2,818.38 | Professional | None (both parts) | $199.53 | $407.38 | $2,818.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $239.88 Typical High $346.74 | Professional | 26 · Professional part | $147.91 | $239.88 | $346.74 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $93.33 Typical High $2,570.40 | Professional | TC · Technical part | $50.12 | $93.33 | $2,570.40 |
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 $107.15 Median $114.82 Typical High $138.04 | Professional | 52 · Reduced service | $107.15 | $114.82 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $46.77 Typical High $54.95 | Professional | 53 · Discontinued | $42.66 | $46.77 | $54.95 |
Where Indiana sits
The same service costs 4.6 times more in Wisconsin than in Maryland. 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· 25th of 51
$355
WI $1,047MD $229
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.