How much rates vary
Facilitymedian $219 · 10th to 90th $78 to $427Professionalmedian $95 · 10th to 90th $72 to $148
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 $74.13 Median $95.50 Typical High $120.23 | Facility | None | $74.13 | $95.50 | $120.23 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $10.96 Median $13.49 Typical High $20.89 | Facility | 26 · Professional part | $10.96 | $13.49 | $20.89 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $61.66 Median $81.28 Typical High $102.33 | Facility | TC · Technical part | $61.66 | $81.28 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $77.62 Typical High $120.23 | Professional | None (both parts) | $75.86 | $77.62 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.48 Typical High $15.49 | Professional | 26 · Professional part | $11.22 | $11.48 | $15.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $100.00 | Professional | TC · Technical part | $64.57 | $64.57 | $100.00 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $61.66 Median $81.28 Typical High $100.00 | Professional | None (both parts) | $61.66 | $81.28 | $100.00 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $10.96 Typical High $16.60 | Professional | 26 · Professional part | $8.71 | $10.96 | $16.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $194.98 Median $346.74 Typical High $407.38 | Facility | None | $194.98 | $346.74 | $407.38 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $77.62 Median $112.20 Typical High $141.25 | Professional | None (both parts) | $77.62 | $112.20 | $141.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $11.48 Typical High $15.49 | Professional | 26 · Professional part | $9.77 | $11.48 | $15.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $100.00 Typical High $131.83 | Professional | TC · Technical part | $66.07 | $100.00 | $131.83 |
CareSource Setting Facility Modifier None Typical Low $12.02 Median $66.07 Typical High $77.62 | Facility | None | $12.02 | $66.07 | $77.62 |
CareSource Setting Professional Modifier None (both parts) Typical Low $10.96 Median $61.66 Typical High $85.11 | Professional | None (both parts) | $10.96 | $61.66 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $346.74 Typical High $426.58 | Facility | None | $169.82 | $346.74 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $97.72 Typical High $177.83 | Professional | None (both parts) | $74.13 | $97.72 | $177.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $13.80 Typical High $21.38 | Professional | 26 · Professional part | $12.02 | $13.80 | $21.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $81.28 Typical High $141.25 | Professional | TC · Technical part | $61.66 | $81.28 | $141.25 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $234.42 Median $245.47 Typical High $2,187.76 | Facility | None | $234.42 | $245.47 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $85.11 Median $109.65 Typical High $162.18 | Professional | None (both parts) | $85.11 | $109.65 | $162.18 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $15.85 Typical High $23.99 | Professional | 26 · Professional part | $12.02 | $15.85 | $23.99 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $93.33 Typical High $138.04 | Professional | TC · Technical part | $74.13 | $93.33 | $138.04 |
United Setting Professional Modifier None (both parts) Typical Low $77.62 Median $100.00 Typical High $169.82 | Professional | None (both parts) | $77.62 | $100.00 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $13.18 Typical High $21.38 | Professional | 26 · Professional part | $10.96 | $13.18 | $21.38 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $85.11 Typical High $147.91 | Professional | TC · Technical part | $66.07 | $85.11 | $147.91 |
3 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 $37.15 Median $37.15 Typical High $42.66 | Professional | 52 · Reduced service | $37.15 | $37.15 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.14 Typical High $17.38 | Professional | 53 · Discontinued | $15.14 | $15.14 | $17.38 |
Ambetter Setting Professional Modifier 52 · Reduced service Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | 52 · Reduced service | $20.42 | $20.42 | $20.42 |
Where Indiana sits
The same service costs 3.3 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· 40th of 51
$95.50
AK $209UT $63.10
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.