How much rates vary
Facilitymedian $347 · 10th to 90th $224 to $912Professionalmedian $224 · 10th to 90th $182 to $363
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 $204.17 Median $269.15 Typical High $346.74 | Facility | None | $204.17 | $269.15 | $346.74 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $32.36 Median $43.65 Typical High $54.95 | Facility | 26 · Professional part | $32.36 | $43.65 | $54.95 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $173.78 Median $229.09 Typical High $288.40 | Facility | TC · Technical part | $173.78 | $229.09 | $288.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $218.78 Typical High $309.03 | Professional | None (both parts) | $208.93 | $218.78 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $48.98 | Professional | 26 · Professional part | $35.48 | $35.48 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $186.21 Typical High $251.19 | Professional | TC · Technical part | $173.78 | $186.21 | $251.19 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $173.78 Median $177.83 Typical High $234.42 | Professional | None (both parts) | $173.78 | $177.83 | $234.42 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $52.48 | Professional | 26 · Professional part | $28.18 | $28.18 | $52.48 |
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 $181.97 Median $223.87 Typical High $295.12 | Professional | None (both parts) | $181.97 | $223.87 | $295.12 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $41.69 Typical High $54.95 | Professional | 26 · Professional part | $31.62 | $41.69 | $54.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $186.21 Typical High $245.47 | Professional | TC · Technical part | $147.91 | $186.21 | $245.47 |
CareSource Setting Facility Modifier None Typical Low $38.02 Median $186.21 Typical High $223.87 | Facility | None | $38.02 | $186.21 | $223.87 |
CareSource Setting Professional Modifier None (both parts) Typical Low $34.67 Median $177.83 Typical High $245.47 | Professional | None (both parts) | $34.67 | $177.83 | $245.47 |
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 $199.53 Median $275.42 Typical High $446.68 | Professional | None (both parts) | $199.53 | $275.42 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $36.31 Typical High $61.66 | Professional | 26 · Professional part | $28.84 | $36.31 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $218.78 Typical High $371.54 | Professional | TC · Technical part | $169.82 | $218.78 | $371.54 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $501.19 Median $707.95 Typical High $2,187.76 | Facility | None | $501.19 | $707.95 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $251.19 Median $323.59 Typical High $467.74 | Professional | None (both parts) | $251.19 | $323.59 | $467.74 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $50.12 Typical High $75.86 | Professional | 26 · Professional part | $38.02 | $50.12 | $75.86 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $269.15 Typical High $398.11 | Professional | TC · Technical part | $213.80 | $269.15 | $398.11 |
United Setting Professional Modifier None (both parts) Typical Low $218.78 Median $281.84 Typical High $446.68 | Professional | None (both parts) | $218.78 | $281.84 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $38.90 Typical High $64.57 | Professional | 26 · Professional part | $30.20 | $38.90 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $239.88 Typical High $389.05 | Professional | TC · Technical part | $186.21 | $239.88 | $389.05 |
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 $109.65 Median $109.65 Typical High $125.89 | Professional | 52 · Reduced service | $109.65 | $109.65 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $44.67 Typical High $50.12 | Professional | 53 · Discontinued | $43.65 | $44.67 | $50.12 |
Where Indiana sits
The same service costs 3.2 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· 46th of 51
$224
AK $603UT $191
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.