How much rates vary
Facilitymedian $37 · 10th to 90th $25 to $891Professionalmedian $33 · 10th to 90th $25 to $45
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 $24.55 Median $33.88 Typical High $42.66 | Facility | None | $24.55 | $33.88 | $42.66 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.08 Median $9.77 Typical High $12.59 | Facility | 26 · Professional part | $7.08 | $9.77 | $12.59 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $17.38 Median $21.88 Typical High $30.90 | Facility | TC · Technical part | $17.38 | $21.88 | $30.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $25.70 Typical High $38.90 | Professional | None (both parts) | $24.55 | $25.70 | $38.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $7.76 Typical High $10.47 | Professional | 26 · Professional part | $7.76 | $7.76 | $10.47 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $17.78 Typical High $27.54 | Professional | TC · Technical part | $16.98 | $17.78 | $27.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $23.44 Median $27.54 Typical High $33.88 | Professional | None (both parts) | $23.44 | $27.54 | $33.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $9.77 Typical High $10.47 | Professional | 26 · Professional part | $9.77 | $9.77 | $10.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $36.31 Median $660.69 Typical High $891.25 | Facility | None | $36.31 | $660.69 | $891.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $27.54 Median $36.31 Typical High $43.65 | Professional | None (both parts) | $27.54 | $36.31 | $43.65 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $16.22 Typical High $16.22 | Professional | 26 · Professional part | $7.94 | $16.22 | $16.22 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $19.95 Typical High $26.92 | Professional | TC · Technical part | $16.98 | $19.95 | $26.92 |
CareSource Setting Facility Modifier None Typical Low $8.32 Median $18.20 Typical High $26.30 | Facility | None | $8.32 | $18.20 | $26.30 |
CareSource Setting Professional Modifier None (both parts) Typical Low $7.59 Median $19.05 Typical High $30.90 | Professional | None (both parts) | $7.59 | $19.05 | $30.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $39.81 Typical High $66.07 | Professional | None (both parts) | $30.20 | $39.81 | $66.07 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $9.55 Typical High $19.05 | Professional | 26 · Professional part | $7.76 | $9.55 | $19.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $28.84 Typical High $45.71 | Professional | TC · Technical part | $19.50 | $28.84 | $45.71 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $74.13 Median $912.01 Typical High $2,187.76 | Facility | None | $74.13 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $28.84 Median $36.31 Typical High $58.88 | Professional | None (both parts) | $28.84 | $36.31 | $58.88 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $10.47 Typical High $16.22 | Professional | 26 · Professional part | $8.71 | $10.47 | $16.22 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $25.70 Typical High $42.66 | Professional | TC · Technical part | $20.42 | $25.70 | $42.66 |
United Setting Professional Modifier None (both parts) Typical Low $28.18 Median $34.67 Typical High $50.12 | Professional | None (both parts) | $28.18 | $34.67 | $50.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $8.71 Typical High $13.18 | Professional | 26 · Professional part | $7.08 | $8.71 | $13.18 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $25.70 Typical High $38.02 | Professional | TC · Technical part | $21.38 | $25.70 | $38.02 |
4 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 $12.30 Median $12.30 Typical High $14.45 | Professional | 52 · Reduced service | $12.30 | $12.30 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $4.90 Typical High $5.75 | Professional | 53 · Discontinued | $4.90 | $4.90 | $5.75 |
Ambetter Setting Professional Modifier 52 · Reduced service Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | 52 · Reduced service | $6.46 | $6.46 | $6.46 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $27.54 Median $27.54 Typical High $28.18 | Professional | 59 · Distinct service | $27.54 | $27.54 | $28.18 |
Where Indiana sits
The same service costs 2.5 times more in Minnesota than in Texas. 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· 33rd of 51
$33.11
MN $67.61TX $26.92
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.