How much rates vary
Facilitymedian $204 · 10th to 90th $60 to $3,981Professionalmedian $60 · 10th to 90th $40 to $115
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 $60.26 Median $3,019.95 Typical High $4,073.80 | Facility | None | $60.26 | $3,019.95 | $4,073.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $60.26 Typical High $67.61 | Professional | None (both parts) | $53.70 | $60.26 | $67.61 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $7.24 Typical High $7.59 | Professional | 26 · Professional part | $6.61 | $7.24 | $7.59 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $53.70 Typical High $58.88 | Professional | TC · Technical part | $47.86 | $53.70 | $58.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $46.77 Median $281.84 Typical High $5,248.07 | Facility | None | $46.77 | $281.84 | $5,248.07 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $39.81 Median $46.77 Typical High $72.44 | Professional | None (both parts) | $39.81 | $46.77 | $72.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $12.88 Typical High $17.38 | Professional | 26 · Professional part | $7.41 | $12.88 | $17.38 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $33.88 Typical High $64.57 | Professional | TC · Technical part | $28.84 | $33.88 | $64.57 |
CareSource Setting Facility Modifier None Typical Low $8.13 Median $58.88 Typical High $66.07 | Facility | None | $8.13 | $58.88 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $109.65 Typical High $208.93 | Facility | None | $61.66 | $109.65 | $208.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $74.13 Typical High $131.83 | Professional | None (both parts) | $52.48 | $74.13 | $131.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $11.22 Typical High $17.78 | Professional | 26 · Professional part | $7.59 | $11.22 | $17.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $66.07 Typical High $131.83 | Professional | TC · Technical part | $41.69 | $66.07 | $131.83 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $199.53 Median $912.01 Typical High $2,137.96 | Facility | None | $199.53 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $64.57 Median $83.18 Typical High $131.83 | Professional | None (both parts) | $64.57 | $83.18 | $131.83 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $9.55 Typical High $14.45 | Professional | 26 · Professional part | $7.41 | $9.55 | $14.45 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $72.44 Typical High $120.23 | Professional | TC · Technical part | $58.88 | $72.44 | $120.23 |
United Setting Professional Modifier None (both parts) Typical Low $61.66 Median $91.20 Typical High $162.18 | Professional | None (both parts) | $61.66 | $91.20 | $162.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $10.72 Typical High $17.78 | Professional | 26 · Professional part | $7.76 | $10.72 | $17.78 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $79.43 Typical High $147.91 | Professional | TC · Technical part | $52.48 | $79.43 | $147.91 |
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 $26.92 Median $30.20 Typical High $33.88 | Professional | 52 · Reduced service | $26.92 | $30.20 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $12.30 Typical High $13.49 | Professional | 53 · Discontinued | $10.72 | $12.30 | $13.49 |
Where Indiana sits
The same service costs 8.1 times more in Alabama than in Indiana. 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· 51st of 51
$63.10
AL $513IN $63.10
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.