How much rates vary
Facilitymedian $661 · 10th to 90th $417 to $912Professionalmedian $417 · 10th to 90th $251 to $646
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 $407.38 Median $562.34 Typical High $691.83 | Facility | None | $407.38 | $562.34 | $691.83 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $52.48 Median $67.61 Typical High $85.11 | Facility | 26 · Professional part | $52.48 | $67.61 | $85.11 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $354.81 Median $478.63 Typical High $616.60 | Facility | TC · Technical part | $354.81 | $478.63 | $616.60 |
Aetna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $407.38 Typical High $602.56 | Professional | None (both parts) | $398.11 | $407.38 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $72.44 | Professional | 26 · Professional part | $52.48 | $52.48 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $354.81 Typical High $489.78 | Professional | TC · Technical part | $346.74 | $354.81 | $489.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $416.87 Median $446.68 Typical High $676.08 | Professional | None (both parts) | $416.87 | $446.68 | $676.08 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $67.61 Typical High $75.86 | Professional | 26 · Professional part | $50.12 | $67.61 | $75.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $416.87 Median $758.58 Typical High $891.25 | Facility | None | $416.87 | $758.58 | $891.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $338.84 Median $416.87 Typical High $512.86 | Professional | None (both parts) | $338.84 | $416.87 | $512.86 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $218.78 Typical High $218.78 | Professional | 26 · Professional part | $54.95 | $218.78 | $218.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $204.17 Typical High $398.11 | Professional | TC · Technical part | $162.18 | $204.17 | $398.11 |
CareSource Setting Facility Modifier None Typical Low $56.23 Median $371.54 Typical High $426.58 | Facility | None | $56.23 | $371.54 | $426.58 |
CareSource Setting Professional Modifier None (both parts) Typical Low $51.29 Median $389.05 Typical High $549.54 | Professional | None (both parts) | $51.29 | $389.05 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $457.09 Typical High $2,344.23 | Professional | None (both parts) | $208.93 | $457.09 | $2,344.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $67.61 Typical High $275.42 | Professional | 26 · Professional part | $53.70 | $67.61 | $275.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $398.11 Typical High $2,041.74 | Professional | TC · Technical part | $151.36 | $398.11 | $2,041.74 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $1,348.96 Typical High $2,187.76 | Facility | None | $912.01 | $1,348.96 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $478.63 Median $630.96 Typical High $812.83 | Professional | None (both parts) | $478.63 | $630.96 | $812.83 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $79.43 Typical High $102.33 | Professional | 26 · Professional part | $63.10 | $79.43 | $102.33 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $549.54 Typical High $724.44 | Professional | TC · Technical part | $416.87 | $549.54 | $724.44 |
United Setting Professional Modifier None (both parts) Typical Low $223.87 Median $407.38 Typical High $707.95 | Professional | None (both parts) | $223.87 | $407.38 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $58.88 Typical High $102.33 | Professional | 26 · Professional part | $48.98 | $58.88 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $346.74 Typical High $616.60 | Professional | TC · Technical part | $169.82 | $346.74 | $616.60 |
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 $199.53 Median $204.17 Typical High $229.09 | Professional | 52 · Reduced service | $199.53 | $204.17 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $81.28 Typical High $91.20 | Professional | 53 · Discontinued | $79.43 | $81.28 | $91.20 |
Where Indiana sits
The same service costs 3.0 times more in Alaska than in New Mexico. 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· 41st of 51
$417
AK $933NM $309
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.