How much rates vary
Facilitymedian $263 · 10th to 90th $129 to $427Professionalmedian $151 · 10th to 90th $117 to $229
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 $117.49 Median $151.36 Typical High $186.21 | Facility | None | $117.49 | $151.36 | $186.21 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $21.38 Median $26.92 Typical High $33.11 | Facility | 26 · Professional part | $21.38 | $26.92 | $33.11 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $95.50 Median $120.23 Typical High $154.88 | Facility | TC · Technical part | $95.50 | $120.23 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $120.23 Typical High $181.97 | Professional | None (both parts) | $117.49 | $120.23 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.88 Typical High $29.51 | Professional | 26 · Professional part | $21.38 | $21.88 | $29.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $100.00 Typical High $138.04 | Professional | TC · Technical part | $95.50 | $100.00 | $138.04 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $120.23 Median $138.04 Typical High $154.88 | Professional | None (both parts) | $120.23 | $138.04 | $154.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $21.38 Typical High $31.62 | Professional | 26 · Professional part | $16.98 | $21.38 | $31.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $251.19 Median $323.59 Typical High $346.74 | Facility | None | $251.19 | $323.59 | $346.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $114.82 Median $151.36 Typical High $199.53 | Professional | None (both parts) | $114.82 | $151.36 | $199.53 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $28.18 Typical High $37.15 | Professional | 26 · Professional part | $20.89 | $28.18 | $37.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $123.03 Typical High $162.18 | Professional | TC · Technical part | $93.33 | $123.03 | $162.18 |
CareSource Setting Facility Modifier None Typical Low $23.44 Median $112.20 Typical High $134.90 | Facility | None | $23.44 | $112.20 | $134.90 |
CareSource Setting Professional Modifier None (both parts) Typical Low $20.89 Median $107.15 Typical High $147.91 | Professional | None (both parts) | $20.89 | $107.15 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $346.74 Typical High $467.74 | Facility | None | $288.40 | $346.74 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $169.82 Typical High $269.15 | Professional | None (both parts) | $128.82 | $169.82 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $23.44 Typical High $38.02 | Professional | 26 · Professional part | $19.50 | $23.44 | $38.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $144.54 Typical High $229.09 | Professional | TC · Technical part | $112.20 | $144.54 | $229.09 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $245.47 Median $416.87 Typical High $2,187.76 | Facility | None | $245.47 | $416.87 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $151.36 Median $190.55 Typical High $281.84 | Professional | None (both parts) | $151.36 | $190.55 | $281.84 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $30.90 Typical High $44.67 | Professional | 26 · Professional part | $24.55 | $30.90 | $44.67 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $158.49 Typical High $234.42 | Professional | TC · Technical part | $128.82 | $158.49 | $234.42 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $169.82 Typical High $275.42 | Professional | None (both parts) | $131.83 | $169.82 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $25.12 Typical High $39.81 | Professional | 26 · Professional part | $19.95 | $25.12 | $39.81 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $144.54 Typical High $245.47 | Professional | TC · Technical part | $112.20 | $144.54 | $245.47 |
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 $58.88 Median $58.88 Typical High $66.07 | Professional | 52 · Reduced service | $58.88 | $58.88 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.44 Typical High $26.30 | Professional | 53 · Discontinued | $23.44 | $23.44 | $26.30 |
Where Indiana sits
The same service costs 3.7 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· 39th of 51
$151
AK $355UT $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.