How much rates vary
Facilitymedian $309 · 10th to 90th $138 to $427Professionalmedian $145 · 10th to 90th $112 to $214
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 $104.71 Median $141.25 Typical High $213.80 | Facility | None | $104.71 | $141.25 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $162.18 | Professional | None (both parts) | $114.82 | $114.82 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $30.20 | Professional | 26 · Professional part | $21.88 | $21.88 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $125.89 | Professional | TC · Technical part | $91.20 | $91.20 | $125.89 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $144.54 | Professional | None (both parts) | $120.23 | $120.23 | $144.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $17.38 Typical High $32.36 | Professional | 26 · Professional part | $17.38 | $17.38 | $32.36 |
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 $109.65 Median $151.36 Typical High $199.53 | Professional | None (both parts) | $109.65 | $151.36 | $199.53 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $23.44 Typical High $30.90 | Professional | 26 · Professional part | $18.20 | $23.44 | $30.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $128.82 Typical High $169.82 | Professional | TC · Technical part | $91.20 | $128.82 | $169.82 |
CareSource Setting Facility Modifier None Typical Low $23.44 Median $93.33 Typical High $117.49 | Facility | None | $23.44 | $93.33 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $346.74 Typical High $467.74 | Facility | None | $239.88 | $346.74 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $144.54 Typical High $234.42 | Professional | None (both parts) | $112.20 | $144.54 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $21.38 Typical High $36.31 | Professional | 26 · Professional part | $15.49 | $21.38 | $36.31 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $120.23 Typical High $190.55 | Professional | TC · Technical part | $93.33 | $120.23 | $190.55 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $245.47 Median $354.81 Typical High $2,187.76 | Facility | None | $245.47 | $354.81 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $131.83 Median $165.96 Typical High $239.88 | Professional | None (both parts) | $131.83 | $165.96 | $239.88 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $31.62 Typical High $45.71 | Professional | 26 · Professional part | $22.91 | $31.62 | $45.71 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $131.83 Typical High $194.98 | Professional | TC · Technical part | $109.65 | $131.83 | $194.98 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $144.54 Typical High $229.09 | Professional | None (both parts) | $117.49 | $144.54 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $23.99 Typical High $39.81 | Professional | 26 · Professional part | $16.22 | $23.99 | $39.81 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $120.23 Typical High $204.17 | Professional | TC · Technical part | $93.33 | $120.23 | $204.17 |
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 $56.23 Median $56.23 Typical High $64.57 | Professional | 52 · Reduced service | $56.23 | $56.23 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $25.70 | Professional | 53 · Discontinued | $22.91 | $22.91 | $25.70 |
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· 30th of 51
$145
AK $302UT $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.