How much rates vary
Facilitymedian $447 · 10th to 90th $129 to $955Professionalmedian $282 · 10th to 90th $145 to $437
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 $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $204.17 Typical High $218.78 | Professional | None (both parts) | $173.78 | $204.17 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $20.89 Typical High $21.88 | Professional | 26 · Professional part | $18.62 | $20.89 | $21.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $186.21 Typical High $199.53 | Professional | TC · Technical part | $154.88 | $186.21 | $199.53 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 26 · Professional part | $21.38 | $21.38 | $21.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $331.13 Median $446.68 Typical High $912.01 | Facility | None | $331.13 | $446.68 | $912.01 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $177.83 Median $331.13 Typical High $478.63 | Professional | None (both parts) | $177.83 | $331.13 | $478.63 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $47.86 Typical High $67.61 | Professional | 26 · Professional part | $21.38 | $47.86 | $67.61 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $288.40 Typical High $407.38 | Professional | TC · Technical part | $162.18 | $288.40 | $407.38 |
CareSource Setting Facility Modifier None Typical Low $22.91 Median $186.21 Typical High $208.93 | Facility | None | $22.91 | $186.21 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $204.17 Typical High $371.54 | Facility | None | $117.49 | $204.17 | $371.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $204.17 Typical High $436.52 | Professional | None (both parts) | $112.20 | $204.17 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $27.54 Typical High $141.25 | Professional | 26 · Professional part | $24.55 | $27.54 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $186.21 Typical High $380.19 | Professional | TC · Technical part | $79.43 | $186.21 | $380.19 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $616.60 Median $912.01 Typical High $2,137.96 | Facility | None | $616.60 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $245.47 Median $309.03 Typical High $407.38 | Professional | None (both parts) | $245.47 | $309.03 | $407.38 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.90 Typical High $40.74 | Professional | 26 · Professional part | $23.99 | $30.90 | $40.74 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $275.42 Typical High $371.54 | Professional | TC · Technical part | $218.78 | $275.42 | $371.54 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $218.78 Typical High $416.87 | Professional | None (both parts) | $144.54 | $218.78 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $27.54 Typical High $48.98 | Professional | 26 · Professional part | $20.89 | $27.54 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $194.98 Typical High $380.19 | Professional | TC · Technical part | $123.03 | $194.98 | $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 $85.11 Median $102.33 Typical High $109.65 | Professional | 52 · Reduced service | $85.11 | $102.33 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $41.69 Typical High $43.65 | Professional | 53 · Discontinued | $34.67 | $41.69 | $43.65 |
Where Indiana sits
The same service costs 4.3 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· 18th of 51
$282
AK $661KY $155
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.