How much rates vary
Facilitymedian $2,291 · 10th to 90th $468 to $22,387Professionalmedian $589 · 10th to 90th $417 to $759
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 $446.68 Median $5,011.87 Typical High $17,782.79 | Facility | None | $446.68 | $5,011.87 | $17,782.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $446.68 Typical High $524.81 | Professional | None (both parts) | $416.87 | $446.68 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $181.97 Typical High $213.80 | Professional | 26 · Professional part | $173.78 | $181.97 | $213.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $263.03 Typical High $309.03 | Professional | TC · Technical part | $239.88 | $263.03 | $309.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $630.96 Median $21,379.62 Typical High $107,151.93 | Facility | None | $630.96 | $21,379.62 | $107,151.93 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $489.78 Median $630.96 Typical High $724.44 | Professional | None (both parts) | $489.78 | $630.96 | $724.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $288.40 Typical High $316.23 | Professional | 26 · Professional part | $158.49 | $288.40 | $316.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $346.74 Typical High $407.38 | Professional | TC · Technical part | $275.42 | $346.74 | $407.38 |
CareSource Setting Facility Modifier None Typical Low $177.83 Median $239.88 Typical High $416.87 | Facility | None | $177.83 | $239.88 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $676.08 Typical High $741.31 | Facility | None | $436.52 | $676.08 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $575.44 Typical High $812.83 | Professional | None (both parts) | $446.68 | $575.44 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $239.88 Typical High $346.74 | Professional | 26 · Professional part | $181.97 | $239.88 | $346.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $331.13 Typical High $407.38 | Professional | TC · Technical part | $263.03 | $331.13 | $407.38 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $776.25 Median $954.99 Typical High $2,290.87 | Facility | None | $776.25 | $954.99 | $2,290.87 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $302.00 Median $363.08 Typical High $562.34 | Professional | None (both parts) | $302.00 | $363.08 | $562.34 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $223.87 Typical High $338.84 | Professional | 26 · Professional part | $186.21 | $223.87 | $338.84 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $112.20 Typical High $288.40 | Professional | TC · Technical part | $93.33 | $112.20 | $288.40 |
United Setting Facility Modifier None Typical Low $1,318.26 Median $4,168.69 Typical High $22,387.21 | Facility | None | $1,318.26 | $4,168.69 | $22,387.21 |
United Setting Professional Modifier None (both parts) Typical Low $245.47 Median $489.78 Typical High $1,000.00 | Professional | None (both parts) | $245.47 | $489.78 | $1,000.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $199.53 Typical High $346.74 | Professional | 26 · Professional part | $154.88 | $199.53 | $346.74 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $281.84 Typical High $812.83 | Professional | TC · Technical part | $81.28 | $281.84 | $812.83 |
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 $208.93 Median $223.87 Typical High $263.03 | Professional | 52 · Reduced service | $208.93 | $223.87 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $89.13 Typical High $104.71 | Professional | 53 · Discontinued | $83.18 | $89.13 | $104.71 |
Where Indiana sits
The same service costs 3.0 times more in Wisconsin than in North 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· 24th of 51
$589
WI $1,000NC $331
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.