How much rates vary
Facilitymedian $219 · 10th to 90th $110 to $468Professionalmedian $209 · 10th to 90th $110 to $275
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 $109.65 Median $151.36 Typical High $218.78 | Facility | None | $109.65 | $151.36 | $218.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $169.82 | Professional | None (both parts) | $109.65 | $109.65 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $66.07 | Professional | 26 · Professional part | $56.23 | $56.23 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $52.48 Typical High $66.07 | Professional | TC · Technical part | $52.48 | $52.48 | $66.07 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | None (both parts) | $97.72 | $97.72 | $97.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $263.03 Median $323.59 Typical High $457.09 | Facility | None | $263.03 | $323.59 | $457.09 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $114.82 Median $263.03 Typical High $316.23 | Professional | None (both parts) | $114.82 | $263.03 | $316.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $89.13 Typical High $114.82 | Professional | 26 · Professional part | $57.54 | $89.13 | $114.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $173.78 Typical High $208.93 | Professional | TC · Technical part | $56.23 | $173.78 | $208.93 |
CareSource Setting Facility Modifier None Typical Low $54.95 Median $60.26 Typical High $114.82 | Facility | None | $54.95 | $60.26 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $190.55 Typical High $467.74 | Facility | None | $120.23 | $190.55 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $199.53 Typical High $275.42 | Professional | None (both parts) | $120.23 | $199.53 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $66.07 Typical High $107.15 | Professional | 26 · Professional part | $58.88 | $66.07 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $102.33 Typical High $186.21 | Professional | TC · Technical part | $57.54 | $102.33 | $186.21 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $316.23 Median $912.01 Typical High $2,187.76 | Facility | None | $316.23 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $123.03 Median $162.18 Typical High $239.88 | Professional | None (both parts) | $123.03 | $162.18 | $239.88 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $81.28 Typical High $123.03 | Professional | 26 · Professional part | $66.07 | $81.28 | $123.03 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $79.43 Typical High $125.89 | Professional | TC · Technical part | $63.10 | $79.43 | $125.89 |
United Setting Professional Modifier None (both parts) Typical Low $112.20 Median $154.88 Typical High $257.04 | Professional | None (both parts) | $112.20 | $154.88 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $67.61 Typical High $107.15 | Professional | 26 · Professional part | $54.95 | $67.61 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $75.86 Typical High $154.88 | Professional | TC · Technical part | $54.95 | $75.86 | $154.88 |
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 $24.55 | Professional | 53 · Discontinued | $21.88 | $21.88 | $24.55 |
Where Indiana sits
The same service costs 4.6 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· 10th of 51
$209
AK $316UT $69.18
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.