How much rates vary
Facilitymedian $562 · 10th to 90th $166 to $3,715Professionalmedian $316 · 10th to 90th $251 to $468
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 $281.84 Median $5,011.87 Typical High $5,623.41 | Facility | None | $281.84 | $5,011.87 | $5,623.41 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $363.08 | Professional | None (both parts) | $281.84 | $281.84 | $363.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $102.33 | Professional | 26 · Professional part | $79.43 | $79.43 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $204.17 Typical High $234.42 | Professional | TC · Technical part | $204.17 | $204.17 | $234.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $436.52 Median $741.31 Typical High $2,187.76 | Facility | None | $436.52 | $741.31 | $2,187.76 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $251.19 Median $302.00 Typical High $426.58 | Professional | None (both parts) | $251.19 | $302.00 | $426.58 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $120.23 Typical High $162.18 | Professional | 26 · Professional part | $79.43 | $120.23 | $162.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $181.97 Typical High $257.04 | Professional | TC · Technical part | $147.91 | $181.97 | $257.04 |
CareSource Setting Facility Modifier None Typical Low $85.11 Median $181.97 Typical High $269.15 | Facility | None | $85.11 | $181.97 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $275.42 Typical High $794.33 | Facility | None | $165.96 | $275.42 | $794.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $363.08 Typical High $660.69 | Professional | None (both parts) | $269.15 | $363.08 | $660.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $102.33 Typical High $147.91 | Professional | 26 · Professional part | $83.18 | $102.33 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $257.04 Typical High $338.84 | Professional | TC · Technical part | $181.97 | $257.04 | $338.84 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $245.47 Median $446.68 Typical High $2,089.30 | Facility | None | $245.47 | $446.68 | $2,089.30 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $309.03 Median $436.52 Typical High $549.54 | Professional | None (both parts) | $309.03 | $436.52 | $549.54 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $128.82 Typical High $169.82 | Professional | 26 · Professional part | $95.50 | $128.82 | $169.82 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $309.03 Typical High $380.19 | Professional | TC · Technical part | $213.80 | $309.03 | $380.19 |
United Setting Facility Modifier None Typical Low $109.65 Median $812.83 Typical High $4,168.69 | Facility | None | $109.65 | $812.83 | $4,168.69 |
United Setting Professional Modifier None (both parts) Typical Low $263.03 Median $380.19 Typical High $537.03 | Professional | None (both parts) | $263.03 | $380.19 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $102.33 Typical High $162.18 | Professional | 26 · Professional part | $81.28 | $102.33 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $269.15 Typical High $380.19 | Professional | TC · Technical part | $181.97 | $269.15 | $380.19 |
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 $134.90 Median $141.25 Typical High $162.18 | Professional | 52 · Reduced service | $134.90 | $141.25 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $56.23 Typical High $66.07 | Professional | 53 · Discontinued | $53.70 | $56.23 | $66.07 |
Where Indiana sits
The same service costs 4.8 times more in Alaska than in Utah. 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
$316
AK $1,000UT $209
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.