How much rates vary
Facilitymedian $324 · 10th to 90th $105 to $1,230Professionalmedian $166 · 10th to 90th $100 to $240
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 $97.72 Median $870.96 Typical High $1,174.90 | Facility | None | $97.72 | $870.96 | $1,174.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $97.72 Typical High $104.71 | Professional | None (both parts) | $85.11 | $97.72 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $22.91 Typical High $23.99 | Professional | 26 · Professional part | $20.42 | $22.91 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $74.13 Typical High $81.28 | Professional | TC · Technical part | $66.07 | $74.13 | $81.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $165.96 Median $436.52 Typical High $1,621.81 | Facility | None | $165.96 | $436.52 | $1,621.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $102.33 Median $165.96 Typical High $223.87 | Professional | None (both parts) | $102.33 | $165.96 | $223.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $39.81 Typical High $53.70 | Professional | 26 · Professional part | $23.44 | $39.81 | $53.70 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $125.89 Typical High $177.83 | Professional | TC · Technical part | $79.43 | $125.89 | $177.83 |
CareSource Setting Facility Modifier None Typical Low $25.12 Median $79.43 Typical High $104.71 | Facility | None | $25.12 | $79.43 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $239.88 Typical High $331.13 | Facility | None | $104.71 | $239.88 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $204.17 Typical High $288.40 | Professional | None (both parts) | $131.83 | $204.17 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $35.48 Typical High $56.23 | Professional | 26 · Professional part | $23.44 | $35.48 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $147.91 Typical High $213.80 | Professional | TC · Technical part | $77.62 | $147.91 | $213.80 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $309.03 Median $912.01 Typical High $2,137.96 | Facility | None | $309.03 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $102.33 Median $131.83 Typical High $204.17 | Professional | None (both parts) | $102.33 | $131.83 | $204.17 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.20 Typical High $44.67 | Professional | 26 · Professional part | $23.99 | $30.20 | $44.67 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $102.33 Typical High $158.49 | Professional | TC · Technical part | $81.28 | $102.33 | $158.49 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $154.88 Typical High $251.19 | Professional | None (both parts) | $104.71 | $154.88 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $33.88 Typical High $61.66 | Professional | 26 · Professional part | $25.12 | $33.88 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $117.49 Typical High $190.55 | Professional | TC · Technical part | $79.43 | $117.49 | $190.55 |
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 $42.66 Median $48.98 Typical High $52.48 | Professional | 52 · Reduced service | $42.66 | $48.98 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $19.50 Typical High $20.89 | Professional | 53 · Discontinued | $17.38 | $19.50 | $20.89 |
Where Indiana sits
The same service costs 4.6 times more in Alabama than in Texas. 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· 29th of 51
$166
AL $479TX $105
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.