How much rates vary
Facilitymedian $316 · 10th to 90th $126 to $891Professionalmedian $158 · 10th to 90th $126 to $229
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 $125.89 Median $165.96 Typical High $186.21 | Facility | None | $125.89 | $165.96 | $186.21 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $72.44 Median $95.50 Typical High $107.15 | Facility | 26 · Professional part | $72.44 | $95.50 | $107.15 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $51.29 Median $70.79 Typical High $79.43 | Facility | TC · Technical part | $51.29 | $70.79 | $79.43 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $125.89 Typical High $186.21 | Professional | None (both parts) | $123.03 | $125.89 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $104.71 | Professional | 26 · Professional part | $74.13 | $74.13 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $51.29 Typical High $75.86 | Professional | TC · Technical part | $48.98 | $51.29 | $75.86 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $125.89 Median $165.96 Typical High $199.53 | Professional | None (both parts) | $125.89 | $165.96 | $199.53 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $114.82 | Professional | 26 · Professional part | $70.79 | $70.79 | $114.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $165.96 Median $426.58 Typical High $891.25 | Facility | None | $165.96 | $426.58 | $891.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $128.82 Median $165.96 Typical High $199.53 | Professional | None (both parts) | $128.82 | $165.96 | $199.53 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $93.33 Typical High $112.20 | Professional | 26 · Professional part | $74.13 | $93.33 | $112.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $70.79 Typical High $83.18 | Professional | TC · Technical part | $53.70 | $70.79 | $83.18 |
CareSource Setting Facility Modifier None Typical Low $51.29 Median $79.43 Typical High $131.83 | Facility | None | $51.29 | $79.43 | $131.83 |
CareSource Setting Professional Modifier None (both parts) Typical Low $48.98 Median $87.10 Typical High $165.96 | Professional | None (both parts) | $48.98 | $87.10 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $169.82 Typical High $691.83 | Professional | None (both parts) | $144.54 | $169.82 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $97.72 Typical High $389.05 | Professional | 26 · Professional part | $81.28 | $97.72 | $389.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $74.13 Typical High $295.12 | Professional | TC · Technical part | $61.66 | $74.13 | $295.12 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $363.08 Median $912.01 Typical High $2,187.76 | Facility | None | $363.08 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $154.88 Median $190.55 Typical High $251.19 | Professional | None (both parts) | $154.88 | $190.55 | $251.19 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $112.20 Typical High $141.25 | Professional | 26 · Professional part | $91.20 | $112.20 | $141.25 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $81.28 Typical High $107.15 | Professional | TC · Technical part | $63.10 | $81.28 | $107.15 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $154.88 Typical High $257.04 | Professional | None (both parts) | $123.03 | $154.88 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $87.10 Typical High $147.91 | Professional | 26 · Professional part | $69.18 | $87.10 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $67.61 Typical High $112.20 | Professional | TC · Technical part | $54.95 | $67.61 | $112.20 |
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 $61.66 Median $63.10 Typical High $69.18 | Professional | 52 · Reduced service | $61.66 | $63.10 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $25.12 Typical High $27.54 | Professional | 53 · Discontinued | $24.55 | $25.12 | $27.54 |
Where Indiana sits
The same service costs 4.0 times more in Alaska 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· 24th of 51
$162
AK $339TX $85.11
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.