How much rates vary
Facilitymedian $309 · 10th to 90th $126 to $661Professionalmedian $145 · 10th to 90th $115 to $219
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 $114.82 Median $151.36 Typical High $234.42 | Facility | None | $114.82 | $151.36 | $234.42 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $18.62 Median $23.99 Typical High $30.90 | Facility | 26 · Professional part | $18.62 | $23.99 | $30.90 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $97.72 Median $125.89 Typical High $162.18 | Facility | TC · Technical part | $97.72 | $125.89 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $120.23 Typical High $186.21 | Professional | None (both parts) | $117.49 | $120.23 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $20.89 Typical High $28.84 | Professional | 26 · Professional part | $19.95 | $20.89 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $100.00 Typical High $151.36 | Professional | TC · Technical part | $97.72 | $100.00 | $151.36 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $100.00 Median $131.83 Typical High $131.83 | Professional | None (both parts) | $100.00 | $131.83 | $131.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $19.95 Typical High $30.20 | Professional | 26 · Professional part | $17.78 | $19.95 | $30.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $281.84 Median $346.74 Typical High $660.69 | Facility | None | $281.84 | $346.74 | $660.69 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $117.49 Median $144.54 Typical High $190.55 | Professional | None (both parts) | $117.49 | $144.54 | $190.55 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $37.15 Typical High $46.77 | Professional | 26 · Professional part | $19.95 | $37.15 | $46.77 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $107.15 Typical High $144.54 | Professional | TC · Technical part | $89.13 | $107.15 | $144.54 |
CareSource Setting Facility Modifier None Typical Low $21.88 Median $102.33 Typical High $123.03 | Facility | None | $21.88 | $102.33 | $123.03 |
CareSource Setting Professional Modifier None (both parts) Typical Low $19.50 Median $97.72 Typical High $134.90 | Professional | None (both parts) | $19.50 | $97.72 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $346.74 Typical High $562.34 | Facility | None | $263.03 | $346.74 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $154.88 Typical High $275.42 | Professional | None (both parts) | $120.23 | $154.88 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $25.12 Typical High $38.02 | Professional | 26 · Professional part | $21.88 | $25.12 | $38.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $128.82 Typical High $213.80 | Professional | TC · Technical part | $95.50 | $128.82 | $213.80 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $302.00 Median $398.11 Typical High $2,187.76 | Facility | None | $302.00 | $398.11 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $138.04 Median $173.78 Typical High $257.04 | Professional | None (both parts) | $138.04 | $173.78 | $257.04 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $28.84 Typical High $42.66 | Professional | 26 · Professional part | $21.88 | $28.84 | $42.66 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $144.54 Typical High $213.80 | Professional | TC · Technical part | $117.49 | $144.54 | $213.80 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $151.36 Typical High $263.03 | Professional | None (both parts) | $120.23 | $151.36 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $23.99 Typical High $38.02 | Professional | 26 · Professional part | $19.95 | $23.99 | $38.02 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $128.82 Typical High $223.87 | Professional | TC · Technical part | $100.00 | $128.82 | $223.87 |
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 $58.88 Median $58.88 Typical High $67.61 | Professional | 52 · Reduced service | $58.88 | $58.88 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.44 Typical High $26.92 | Professional | 53 · Discontinued | $23.44 | $23.44 | $26.92 |
Ambetter Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | 52 · Reduced service | $33.11 | $33.11 | $33.11 |
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· 43rd of 51
$145
AK $316UT $95.50
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.