How much rates vary
Facilitymedian $56 · 10th to 90th $36 to $1,148Professionalmedian $58 · 10th to 90th $35 to $79
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 $36.31 Median $48.98 Typical High $67.61 | Facility | None | $36.31 | $48.98 | $67.61 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $8.91 Median $12.30 Typical High $19.05 | Facility | 26 · Professional part | $8.91 | $12.30 | $19.05 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $26.92 Median $35.48 Typical High $46.77 | Facility | TC · Technical part | $26.92 | $35.48 | $46.77 |
Aetna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $36.31 Typical High $63.10 | Professional | None (both parts) | $35.48 | $36.31 | $63.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $9.77 Typical High $15.14 | Professional | 26 · Professional part | $9.77 | $9.77 | $15.14 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $26.30 Typical High $47.86 | Professional | TC · Technical part | $25.70 | $26.30 | $47.86 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $31.62 Median $37.15 Typical High $48.98 | Professional | None (both parts) | $31.62 | $37.15 | $48.98 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $10.72 Typical High $13.80 | Professional | 26 · Professional part | $9.12 | $10.72 | $13.80 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $38.02 Typical High $38.02 | Professional | TC · Technical part | $32.36 | $38.02 | $38.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $69.18 Median $1,148.15 Typical High $1,513.56 | Facility | None | $69.18 | $1,148.15 | $1,513.56 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $40.74 Median $69.18 Typical High $70.79 | Professional | None (both parts) | $40.74 | $69.18 | $70.79 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $24.55 Typical High $24.55 | Professional | 26 · Professional part | $10.00 | $24.55 | $24.55 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $44.67 Typical High $50.12 | Professional | TC · Technical part | $30.20 | $44.67 | $50.12 |
CareSource Setting Facility Modifier None Typical Low $10.47 Median $27.54 Typical High $38.02 | Facility | None | $10.47 | $27.54 | $38.02 |
CareSource Setting Professional Modifier None (both parts) Typical Low $9.33 Median $28.18 Typical High $44.67 | Professional | None (both parts) | $9.33 | $28.18 | $44.67 |
Cigna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $69.18 Typical High $102.33 | Professional | None (both parts) | $43.65 | $69.18 | $102.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $16.22 Typical High $28.84 | Professional | 26 · Professional part | $10.96 | $16.22 | $28.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $50.12 Typical High $74.13 | Professional | TC · Technical part | $30.90 | $50.12 | $74.13 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $104.71 Median $912.01 Typical High $2,187.76 | Facility | None | $104.71 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $40.74 Median $52.48 Typical High $91.20 | Professional | None (both parts) | $40.74 | $52.48 | $91.20 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $13.18 Typical High $21.88 | Professional | 26 · Professional part | $10.96 | $13.18 | $21.88 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $39.81 Typical High $69.18 | Professional | TC · Technical part | $30.90 | $39.81 | $69.18 |
United Setting Professional Modifier None (both parts) Typical Low $47.86 Median $58.88 Typical High $89.13 | Professional | None (both parts) | $47.86 | $58.88 | $89.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $13.49 Typical High $20.89 | Professional | 26 · Professional part | $10.96 | $13.49 | $20.89 |
United Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $44.67 Typical High $64.57 | Professional | TC · Technical part | $36.31 | $44.67 | $64.57 |
3 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 $17.78 Median $17.78 Typical High $21.38 | Professional | 52 · Reduced service | $17.78 | $17.78 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.08 Typical High $8.51 | Professional | 53 · Discontinued | $7.08 | $7.08 | $8.51 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | 59 · Distinct service | $37.15 | $37.15 | $37.15 |
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· 26th of 51
$57.54
MN $105UT $31.62
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.