How much rates vary
Facilitymedian $347 · 10th to 90th $155 to $661Professionalmedian $158 · 10th to 90th $135 to $263
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 $144.54 Median $186.21 Typical High $288.40 | Facility | None | $144.54 | $186.21 | $288.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $213.80 | Professional | None (both parts) | $144.54 | $144.54 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $30.90 | Professional | 26 · Professional part | $22.39 | $22.39 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $173.78 | Professional | TC · Technical part | $123.03 | $123.03 | $173.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $109.65 Median $134.90 Typical High $245.47 | Professional | None (both parts) | $109.65 | $134.90 | $245.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $309.03 Median $346.74 Typical High $660.69 | Facility | None | $309.03 | $346.74 | $660.69 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $158.49 Typical High $213.80 | Professional | None (both parts) | $131.83 | $158.49 | $213.80 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $41.69 Typical High $51.29 | Professional | 26 · Professional part | $22.39 | $41.69 | $51.29 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $117.49 Typical High $158.49 | Professional | TC · Technical part | $100.00 | $117.49 | $158.49 |
CareSource Setting Facility Modifier None Typical Low $23.99 Median $128.82 Typical High $151.36 | Facility | None | $23.99 | $128.82 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $346.74 Typical High $562.34 | Facility | None | $323.59 | $346.74 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $190.55 Typical High $323.59 | Professional | None (both parts) | $144.54 | $190.55 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $28.18 Typical High $41.69 | Professional | 26 · Professional part | $23.99 | $28.18 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $158.49 Typical High $263.03 | Professional | TC · Technical part | $120.23 | $158.49 | $263.03 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $302.00 Median $489.78 Typical High $2,187.76 | Facility | None | $302.00 | $489.78 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $169.82 Median $213.80 Typical High $316.23 | Professional | None (both parts) | $169.82 | $213.80 | $316.23 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $32.36 Typical High $46.77 | Professional | 26 · Professional part | $24.55 | $32.36 | $46.77 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $186.21 Typical High $275.42 | Professional | TC · Technical part | $144.54 | $186.21 | $275.42 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $190.55 Typical High $323.59 | Professional | None (both parts) | $147.91 | $190.55 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $26.92 Typical High $42.66 | Professional | 26 · Professional part | $21.88 | $26.92 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $162.18 Typical High $275.42 | Professional | TC · Technical part | $125.89 | $162.18 | $275.42 |
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 $72.44 Median $72.44 Typical High $83.18 | Professional | 52 · Reduced service | $72.44 | $72.44 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $33.11 | Professional | 53 · Discontinued | $28.84 | $28.84 | $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· 47th of 51
$158
AK $417UT $126
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.