How much rates vary
Facilitymedian $219 · 10th to 90th $110 to $372Professionalmedian $115 · 10th to 90th $91 to $182
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 $95.50 Median $131.83 Typical High $204.17 | Facility | None | $95.50 | $131.83 | $204.17 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $17.38 Median $23.44 Typical High $29.51 | Facility | 26 · Professional part | $17.38 | $23.44 | $29.51 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $79.43 Median $107.15 Typical High $144.54 | Facility | TC · Technical part | $79.43 | $107.15 | $144.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $112.20 Typical High $162.18 | Professional | None (both parts) | $109.65 | $112.20 | $162.18 |
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 $89.13 Median $89.13 Typical High $125.89 | Professional | TC · Technical part | $89.13 | $89.13 | $125.89 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $74.13 Median $87.10 Typical High $114.82 | Professional | None (both parts) | $74.13 | $87.10 | $114.82 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $18.62 Typical High $25.12 | Professional | 26 · Professional part | $15.49 | $18.62 | $25.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $199.53 Median $323.59 Typical High $346.74 | Facility | None | $199.53 | $323.59 | $346.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $97.72 Median $114.82 Typical High $141.25 | Professional | None (both parts) | $97.72 | $114.82 | $141.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $21.88 Typical High $29.51 | Professional | 26 · Professional part | $17.78 | $21.88 | $29.51 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $91.20 Typical High $117.49 | Professional | TC · Technical part | $77.62 | $91.20 | $117.49 |
CareSource Setting Facility Modifier None Typical Low $21.38 Median $91.20 Typical High $112.20 | Facility | None | $21.38 | $91.20 | $112.20 |
CareSource Setting Professional Modifier None (both parts) Typical Low $19.50 Median $87.10 Typical High $128.82 | Professional | None (both parts) | $19.50 | $87.10 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $346.74 Typical High $467.74 | Facility | None | $234.42 | $346.74 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $154.88 Typical High $251.19 | Professional | None (both parts) | $114.82 | $154.88 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $23.99 Typical High $35.48 | Professional | 26 · Professional part | $21.38 | $23.99 | $35.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $120.23 Typical High $194.98 | Professional | TC · Technical part | $93.33 | $120.23 | $194.98 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $245.47 Median $346.74 Typical High $2,187.76 | Facility | None | $245.47 | $346.74 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $128.82 Median $158.49 Typical High $234.42 | Professional | None (both parts) | $128.82 | $158.49 | $234.42 |
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 $107.15 Median $128.82 Typical High $190.55 | Professional | TC · Technical part | $107.15 | $128.82 | $190.55 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $147.91 Typical High $245.47 | Professional | None (both parts) | $109.65 | $147.91 | $245.47 |
United 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 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $123.03 Typical High $204.17 | Professional | TC · Technical part | $89.13 | $123.03 | $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 $54.95 Median $54.95 Typical High $61.66 | Professional | 52 · Reduced service | $54.95 | $54.95 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $25.12 | Professional | 53 · Discontinued | $21.88 | $21.88 | $25.12 |
Where Indiana sits
The same service costs 4.0 times more in Minnesota 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
$115
MN $380UT $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.