How much rates vary
Facilitymedian $912 · 10th to 90th $251 to $2,089Professionalmedian $269 · 10th to 90th $214 to $380
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $323.59 | Professional | None (both parts) | $288.40 | $288.40 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $114.82 Typical High $128.82 | Professional | 26 · Professional part | $114.82 | $114.82 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $173.78 Typical High $194.98 | Professional | TC · Technical part | $173.78 | $173.78 | $194.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $251.19 Median $1,148.15 Typical High $1,513.56 | Facility | None | $251.19 | $1,148.15 | $1,513.56 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $213.80 Median $251.19 Typical High $302.00 | Professional | None (both parts) | $213.80 | $251.19 | $302.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $75.86 Typical High $89.13 | Professional | 26 · Professional part | $63.10 | $75.86 | $89.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $204.17 Typical High $229.09 | Professional | TC · Technical part | $173.78 | $204.17 | $229.09 |
CareSource Setting Facility Modifier None Typical Low $125.89 Median $186.21 Typical High $338.84 | Facility | None | $125.89 | $186.21 | $338.84 |
CareSource Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None (both parts) | $107.15 | $107.15 | $107.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $354.81 Typical High $1,584.89 | Professional | None (both parts) | $281.84 | $354.81 | $1,584.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $141.25 Typical High $630.96 | Professional | 26 · Professional part | $102.33 | $141.25 | $630.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $218.78 Typical High $954.99 | Professional | TC · Technical part | $169.82 | $218.78 | $954.99 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $954.99 Typical High $2,290.87 | Facility | None | $912.01 | $954.99 | $2,290.87 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $245.47 | $245.47 | $245.47 |
United Setting Professional Modifier None (both parts) Typical Low $245.47 Median $302.00 Typical High $457.09 | Professional | None (both parts) | $245.47 | $302.00 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $114.82 Typical High $181.97 | Professional | 26 · Professional part | $95.50 | $114.82 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $177.83 Typical High $275.42 | Professional | TC · Technical part | $144.54 | $177.83 | $275.42 |
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 $144.54 Median $144.54 Typical High $162.18 | Professional | 52 · Reduced service | $144.54 | $144.54 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $57.54 Typical High $64.57 | Professional | 53 · Discontinued | $57.54 | $57.54 | $64.57 |
Where Indiana sits
The same service costs 9.8 times more in Alaska than in New York. 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· 43rd of 51
$269
AK $631NY $64.57
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.