How much rates vary
Facilitymedian $347 · 10th to 90th $251 to $851Professionalmedian $309 · 10th to 90th $234 to $457
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 $245.47 Median $295.12 Typical High $371.54 | Facility | None | $245.47 | $295.12 | $371.54 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $50.12 Median $61.66 Typical High $95.50 | Facility | 26 · Professional part | $50.12 | $61.66 | $95.50 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $169.82 Median $234.42 Typical High $295.12 | Facility | TC · Technical part | $169.82 | $234.42 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $245.47 Typical High $354.81 | Professional | None (both parts) | $239.88 | $245.47 | $354.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $53.70 Typical High $91.20 | Professional | 26 · Professional part | $52.48 | $53.70 | $91.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $194.98 Typical High $263.03 | Professional | TC · Technical part | $181.97 | $194.98 | $263.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $194.98 Median $257.04 Typical High $316.23 | Professional | None (both parts) | $194.98 | $257.04 | $316.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $50.12 Typical High $74.13 | Professional | 26 · Professional part | $40.74 | $50.12 | $74.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $346.74 Median $549.54 Typical High $724.44 | Facility | None | $346.74 | $549.54 | $724.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $239.88 Median $338.84 Typical High $416.87 | Professional | None (both parts) | $239.88 | $338.84 | $416.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $107.15 Typical High $125.89 | Professional | 26 · Professional part | $50.12 | $107.15 | $125.89 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $229.09 Typical High $309.03 | Professional | TC · Technical part | $162.18 | $229.09 | $309.03 |
CareSource Setting Facility Modifier None Typical Low $56.23 Median $194.98 Typical High $251.19 | Facility | None | $56.23 | $194.98 | $251.19 |
CareSource Setting Professional Modifier None (both parts) Typical Low $50.12 Median $186.21 Typical High $269.15 | Professional | None (both parts) | $50.12 | $186.21 | $269.15 |
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 $269.15 Median $346.74 Typical High $524.81 | Professional | None (both parts) | $269.15 | $346.74 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $91.20 Typical High $120.23 | Professional | 26 · Professional part | $56.23 | $91.20 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $245.47 Typical High $380.19 | Professional | TC · Technical part | $190.55 | $245.47 | $380.19 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $501.19 Median $776.25 Typical High $2,187.76 | Facility | None | $501.19 | $776.25 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $281.84 Median $354.81 Typical High $524.81 | Professional | None (both parts) | $281.84 | $354.81 | $524.81 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $75.86 Typical High $112.20 | Professional | 26 · Professional part | $60.26 | $75.86 | $112.20 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $281.84 Typical High $416.87 | Professional | TC · Technical part | $218.78 | $281.84 | $416.87 |
United Setting Professional Modifier None (both parts) Typical Low $251.19 Median $346.74 Typical High $524.81 | Professional | None (both parts) | $251.19 | $346.74 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $74.13 Typical High $125.89 | Professional | 26 · Professional part | $52.48 | $74.13 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $269.15 Typical High $398.11 | Professional | TC · Technical part | $194.98 | $269.15 | $398.11 |
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 $123.03 Median $123.03 Typical High $138.04 | Professional | 52 · Reduced service | $123.03 | $123.03 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $54.95 | Professional | 53 · Discontinued | $48.98 | $48.98 | $54.95 |
Where Indiana sits
The same service costs 3.3 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· 29th of 51
$316
MN $676UT $204
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.