How much rates vary
Facilitymedian $2,291 · 10th to 90th $302 to $22,387Professionalmedian $302 · 10th to 90th $182 to $389
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 $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $208.93 Typical High $239.88 | Professional | None (both parts) | $190.55 | $208.93 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $154.88 Typical High $173.78 | Professional | 26 · Professional part | $141.25 | $154.88 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $52.48 Typical High $60.26 | Professional | TC · Technical part | $46.77 | $52.48 | $60.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $302.00 Median $21,379.62 Typical High $107,151.93 | Facility | None | $302.00 | $21,379.62 | $107,151.93 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $181.97 Median $302.00 Typical High $346.74 | Professional | None (both parts) | $181.97 | $302.00 | $346.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $199.53 Typical High $239.88 | Professional | 26 · Professional part | $134.90 | $199.53 | $239.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $107.15 Typical High $120.23 | Professional | TC · Technical part | $46.77 | $107.15 | $120.23 |
CareSource Setting Facility Modifier None Typical Low $46.77 Median $144.54 Typical High $190.55 | Facility | None | $46.77 | $144.54 | $190.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $338.84 Typical High $436.52 | Professional | None (both parts) | $204.17 | $338.84 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $234.42 Typical High $281.84 | Professional | 26 · Professional part | $151.36 | $234.42 | $281.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $117.49 Typical High $144.54 | Professional | TC · Technical part | $51.29 | $117.49 | $144.54 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $524.81 Median $912.01 Typical High $2,187.76 | Facility | None | $524.81 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $213.80 Median $263.03 Typical High $389.05 | Professional | None (both parts) | $213.80 | $263.03 | $389.05 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $194.98 Typical High $281.84 | Professional | 26 · Professional part | $158.49 | $194.98 | $281.84 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $67.61 Typical High $100.00 | Professional | TC · Technical part | $54.95 | $67.61 | $100.00 |
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 $173.78 Median $281.84 Typical High $407.38 | Professional | None (both parts) | $173.78 | $281.84 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $194.98 Typical High $302.00 | Professional | 26 · Professional part | $128.82 | $194.98 | $302.00 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $77.62 Typical High $134.90 | Professional | TC · Technical part | $44.67 | $77.62 | $134.90 |
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 $95.50 Median $102.33 Typical High $120.23 | Professional | 52 · Reduced service | $95.50 | $102.33 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $41.69 Typical High $47.86 | Professional | 53 · Discontinued | $38.02 | $41.69 | $47.86 |
Where Indiana sits
The same service costs 3.5 times more in Alaska than in Utah. 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· 19th of 51
$302
AK $468UT $132
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.