How much rates vary
Facilitymedian $347 · 10th to 90th $178 to $724Professionalmedian $209 · 10th to 90th $162 to $331
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 $154.88 Median $213.80 Typical High $275.42 | Facility | None | $154.88 | $213.80 | $275.42 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $31.62 Median $42.66 Typical High $53.70 | Facility | 26 · Professional part | $31.62 | $42.66 | $53.70 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $125.89 Median $169.82 Typical High $218.78 | Facility | TC · Technical part | $125.89 | $169.82 | $218.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $181.97 Typical High $263.03 | Professional | None (both parts) | $173.78 | $181.97 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $51.29 | Professional | 26 · Professional part | $36.31 | $36.31 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $141.25 Typical High $194.98 | Professional | TC · Technical part | $138.04 | $141.25 | $194.98 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $186.21 | Professional | None (both parts) | $141.25 | $141.25 | $186.21 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $35.48 Typical High $45.71 | Professional | 26 · Professional part | $28.18 | $35.48 | $45.71 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $208.93 Typical High $208.93 | Professional | TC · Technical part | $131.83 | $208.93 | $208.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $346.74 Median $436.52 Typical High $724.44 | Facility | None | $346.74 | $436.52 | $724.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $173.78 Median $223.87 Typical High $302.00 | Professional | None (both parts) | $173.78 | $223.87 | $302.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $42.66 Typical High $53.70 | Professional | 26 · Professional part | $32.36 | $42.66 | $53.70 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $181.97 Typical High $245.47 | Professional | TC · Technical part | $141.25 | $181.97 | $245.47 |
CareSource Setting Facility Modifier None Typical Low $38.90 Median $141.25 Typical High $177.83 | Facility | None | $38.90 | $141.25 | $177.83 |
CareSource Setting Professional Modifier None (both parts) Typical Low $34.67 Median $134.90 Typical High $204.17 | Professional | None (both parts) | $34.67 | $134.90 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $954.99 | Facility | None | $346.74 | $346.74 | $954.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $229.09 Typical High $389.05 | Professional | None (both parts) | $177.83 | $229.09 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $37.15 Typical High $63.10 | Professional | 26 · Professional part | $30.20 | $37.15 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $190.55 Typical High $309.03 | Professional | TC · Technical part | $141.25 | $190.55 | $309.03 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $501.19 Median $562.34 Typical High $2,187.76 | Facility | None | $501.19 | $562.34 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $194.98 Median $257.04 Typical High $380.19 | Professional | None (both parts) | $194.98 | $257.04 | $380.19 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $51.29 Typical High $75.86 | Professional | 26 · Professional part | $38.02 | $51.29 | $75.86 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $204.17 Typical High $302.00 | Professional | TC · Technical part | $165.96 | $204.17 | $302.00 |
United Setting Professional Modifier None (both parts) Typical Low $177.83 Median $234.42 Typical High $371.54 | Professional | None (both parts) | $177.83 | $234.42 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $39.81 Typical High $64.57 | Professional | 26 · Professional part | $31.62 | $39.81 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $199.53 Typical High $316.23 | Professional | TC · Technical part | $141.25 | $199.53 | $316.23 |
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 $87.10 Median $87.10 Typical High $100.00 | Professional | 52 · Reduced service | $87.10 | $87.10 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $35.48 Typical High $39.81 | Professional | 53 · Discontinued | $35.48 | $35.48 | $39.81 |
Where Indiana sits
The same service costs 3.2 times more in Minnesota 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· 40th of 51
$209
MN $501UT $158
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.