How much rates vary
Facilitymedian $91 · 10th to 90th $58 to $1,349Professionalmedian $87 · 10th to 90th $56 to $148
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 $57.54 Median $81.28 Typical High $100.00 | Facility | None | $57.54 | $81.28 | $100.00 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $26.30 Median $33.88 Typical High $38.02 | Facility | 26 · Professional part | $26.30 | $33.88 | $38.02 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $33.88 Median $46.77 Typical High $52.48 | Facility | TC · Technical part | $33.88 | $46.77 | $52.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $77.62 | Professional | None (both parts) | $57.54 | $57.54 | $77.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $34.67 | Professional | 26 · Professional part | $26.30 | $26.30 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $31.62 Typical High $41.69 | Professional | TC · Technical part | $30.90 | $31.62 | $41.69 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $57.54 Median $58.88 Typical High $77.62 | Professional | None (both parts) | $57.54 | $58.88 | $77.62 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $38.90 Typical High $38.90 | Professional | 26 · Professional part | $36.31 | $38.90 | $38.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $104.71 Median $1,148.15 Typical High $1,513.56 | Facility | None | $104.71 | $1,148.15 | $1,513.56 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $58.88 Median $104.71 Typical High $131.83 | Professional | None (both parts) | $58.88 | $104.71 | $131.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $53.70 Typical High $53.70 | Professional | 26 · Professional part | $27.54 | $53.70 | $53.70 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $51.29 Typical High $67.61 | Professional | TC · Technical part | $32.36 | $51.29 | $67.61 |
CareSource Setting Facility Modifier None Typical Low $28.18 Median $33.88 Typical High $61.66 | Facility | None | $28.18 | $33.88 | $61.66 |
CareSource Setting Professional Modifier None (both parts) Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | None (both parts) | $23.99 | $23.99 | $23.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $91.20 Typical High $208.93 | Professional | None (both parts) | $64.57 | $91.20 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $33.11 Typical High $60.26 | Professional | 26 · Professional part | $26.30 | $33.11 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $47.86 Typical High $177.83 | Professional | TC · Technical part | $31.62 | $47.86 | $177.83 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $173.78 Median $912.01 Typical High $2,187.76 | Facility | None | $173.78 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $66.07 Median $83.18 Typical High $125.89 | Professional | None (both parts) | $66.07 | $83.18 | $125.89 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $36.31 Typical High $54.95 | Professional | 26 · Professional part | $29.51 | $36.31 | $54.95 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $46.77 Typical High $70.79 | Professional | TC · Technical part | $37.15 | $46.77 | $70.79 |
United Setting Professional Modifier None (both parts) Typical Low $50.12 Median $60.26 Typical High $91.20 | Professional | None (both parts) | $50.12 | $60.26 | $91.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $29.51 Typical High $45.71 | Professional | 26 · Professional part | $23.99 | $29.51 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $30.90 Typical High $45.71 | Professional | TC · Technical part | $25.70 | $30.90 | $45.71 |
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 $28.18 Median $28.84 Typical High $31.62 | Professional | 52 · Reduced service | $28.18 | $28.84 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $11.48 Typical High $12.59 | Professional | 53 · Discontinued | $11.48 | $11.48 | $12.59 |
Where Indiana sits
The same service costs 3.6 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· 14th of 51
$87.10
MN $141TX $38.90
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.