How much rates vary
Facilitymedian $158 · 10th to 90th $78 to $955Professionalmedian $81 · 10th to 90th $69 to $138
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 $70.79 Median $87.10 Typical High $102.33 | Facility | None | $70.79 | $87.10 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $70.79 Typical High $74.13 | Professional | None (both parts) | $63.10 | $70.79 | $74.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $24.55 Typical High $25.70 | Professional | 26 · Professional part | $21.88 | $24.55 | $25.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $46.77 Typical High $50.12 | Professional | TC · Technical part | $40.74 | $46.77 | $50.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $81.28 Median $158.49 Typical High $316.23 | Facility | None | $81.28 | $158.49 | $316.23 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $69.18 Median $81.28 Typical High $128.82 | Professional | None (both parts) | $69.18 | $81.28 | $128.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $28.84 Typical High $43.65 | Professional | 26 · Professional part | $24.55 | $28.84 | $43.65 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $46.77 Typical High $74.13 | Professional | TC · Technical part | $39.81 | $46.77 | $74.13 |
CareSource Setting Facility Modifier None Typical Low $26.92 Median $50.12 Typical High $77.62 | Facility | None | $26.92 | $50.12 | $77.62 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $97.72 Typical High $173.78 | Professional | None (both parts) | $63.10 | $97.72 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $34.67 Typical High $58.88 | Professional | 26 · Professional part | $25.12 | $34.67 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $63.10 Typical High $112.20 | Professional | TC · Technical part | $47.86 | $63.10 | $112.20 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $223.87 Median $912.01 Typical High $2,137.96 | Facility | None | $223.87 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $74.13 Median $95.50 Typical High $147.91 | Professional | None (both parts) | $74.13 | $95.50 | $147.91 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $32.36 Typical High $48.98 | Professional | 26 · Professional part | $25.70 | $32.36 | $48.98 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $63.10 Typical High $100.00 | Professional | TC · Technical part | $50.12 | $63.10 | $100.00 |
United Setting Professional Modifier None (both parts) Typical Low $72.44 Median $102.33 Typical High $177.83 | Professional | None (both parts) | $72.44 | $102.33 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $34.67 Typical High $61.66 | Professional | 26 · Professional part | $24.55 | $34.67 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $69.18 Typical High $117.49 | Professional | TC · Technical part | $47.86 | $69.18 | $117.49 |
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 $31.62 Median $35.48 Typical High $37.15 | Professional | 52 · Reduced service | $31.62 | $35.48 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $14.13 Typical High $14.79 | Professional | 53 · Discontinued | $12.59 | $14.13 | $14.79 |
Where Indiana sits
The same service costs 4.6 times more in Alaska than in Florida. 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· 45th of 51
$81.28
AK $302FL $66.07
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.