How much rates vary
Facilitymedian $407 · 10th to 90th $120 to $1,230Professionalmedian $224 · 10th to 90th $115 to $372
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 $109.65 Median $870.96 Typical High $1,174.90 | Facility | None | $109.65 | $870.96 | $1,174.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $109.65 Typical High $120.23 | Professional | None (both parts) | $97.72 | $109.65 | $120.23 |
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 $77.62 Median $87.10 Typical High $95.50 | Professional | TC · Technical part | $77.62 | $87.10 | $95.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $263.03 Median $501.19 Typical High $1,621.81 | Facility | None | $263.03 | $501.19 | $1,621.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $117.49 Median $263.03 Typical High $354.81 | Professional | None (both parts) | $117.49 | $263.03 | $354.81 |
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 $95.50 Median $223.87 Typical High $316.23 | Professional | TC · Technical part | $95.50 | $223.87 | $316.23 |
CareSource Setting Facility Modifier None Typical Low $25.12 Median $95.50 Typical High $120.23 | Facility | None | $25.12 | $95.50 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $309.03 Typical High $446.68 | Facility | None | $117.49 | $309.03 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $309.03 Typical High $489.78 | Professional | None (both parts) | $151.36 | $309.03 | $489.78 |
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 $89.13 Median $194.98 Typical High $346.74 | Professional | TC · Technical part | $89.13 | $194.98 | $346.74 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $354.81 Median $912.01 Typical High $2,137.96 | Facility | None | $354.81 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $117.49 Median $147.91 Typical High $229.09 | Professional | None (both parts) | $117.49 | $147.91 | $229.09 |
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 $95.50 Median $120.23 Typical High $186.21 | Professional | TC · Technical part | $95.50 | $120.23 | $186.21 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $177.83 Typical High $331.13 | Professional | None (both parts) | $117.49 | $177.83 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $33.88 Typical High $57.54 | Professional | 26 · Professional part | $25.12 | $33.88 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $144.54 Typical High $263.03 | Professional | TC · Technical part | $93.33 | $144.54 | $263.03 |
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 $48.98 Median $54.95 Typical High $58.88 | Professional | 52 · Reduced service | $48.98 | $54.95 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $21.88 Typical High $23.99 | Professional | 53 · Discontinued | $19.50 | $21.88 | $23.99 |
Where Indiana sits
The same service costs 5.2 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· 15th of 51
$234
AL $550TX $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.