How much rates vary
Facilitymedian $1,318 · 10th to 90th $331 to $2,630Professionalmedian $331 · 10th to 90th $240 to $1,738
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 $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $891.25 Median $933.25 Typical High $1,096.48 | Professional | None (both parts) | $891.25 | $933.25 | $1,096.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $199.53 Typical High $213.80 | Professional | 26 · Professional part | $190.55 | $199.53 | $213.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $741.31 Typical High $891.25 | Professional | TC · Technical part | $691.83 | $741.31 | $891.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $331.13 Median $2,630.27 Typical High $3,548.13 | Facility | None | $331.13 | $2,630.27 | $3,548.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $229.09 Median $331.13 Typical High $416.87 | Professional | None (both parts) | $229.09 | $331.13 | $416.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $295.12 Typical High $338.84 | Professional | 26 · Professional part | $204.17 | $295.12 | $338.84 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $37.15 Typical High $48.98 | Professional | TC · Technical part | $26.92 | $37.15 | $48.98 |
CareSource Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $954.99 | Facility | None | $204.17 | $204.17 | $954.99 |
CareSource Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $169.82 | $169.82 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $1,047.13 Median $1,548.82 Typical High $1,659.59 | Facility | None | $1,047.13 | $1,548.82 | $1,659.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $977.24 Median $1,174.90 Typical High $5,128.61 | Professional | None (both parts) | $977.24 | $1,174.90 | $5,128.61 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $239.88 Typical High $1,023.29 | Professional | 26 · Professional part | $204.17 | $239.88 | $1,023.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $933.25 Typical High $4,073.80 | Professional | TC · Technical part | $758.58 | $933.25 | $4,073.80 |
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 26 · Professional part Typical Low $223.87 Median $288.40 Typical High $371.54 | Professional | 26 · Professional part | $223.87 | $288.40 | $371.54 |
United Setting Professional Modifier None (both parts) Typical Low $691.83 Median $1,737.80 Typical High $3,019.95 | Professional | None (both parts) | $691.83 | $1,737.80 | $3,019.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $229.09 Typical High $389.05 | Professional | 26 · Professional part | $181.97 | $229.09 | $389.05 |
United Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $1,548.82 Typical High $2,691.53 | Professional | TC · Technical part | $426.58 | $1,548.82 | $2,691.53 |
4 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 $446.68 Median $467.74 Typical High $549.54 | Professional | 52 · Reduced service | $446.68 | $467.74 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $186.21 Typical High $218.78 | Professional | 53 · Discontinued | $177.83 | $186.21 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $141.25 Typical High $165.96 | Professional | 55 · Aftercare only | $131.83 | $141.25 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $93.33 Typical High $109.65 | Professional | 56 · Pre-op care only | $89.13 | $93.33 | $109.65 |
Where Indiana sits
The same service costs 11.2 times more in Alaska than in Kentucky. 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· 48th of 51
$331
AK $3,020KY $269
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.