How much rates vary
Facilitymedian $912 · 10th to 90th $295 to $1,950Professionalmedian $288 · 10th to 90th $204 to $562
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 $295.12 Median $436.52 Typical High $1,548.82 | Facility | None | $295.12 | $436.52 | $1,548.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $295.12 Typical High $478.63 | Professional | None (both parts) | $245.47 | $295.12 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $51.29 Typical High $64.57 | Professional | 26 · Professional part | $45.71 | $51.29 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $245.47 Typical High $302.00 | Professional | TC · Technical part | $204.17 | $245.47 | $302.00 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $57.54 | Professional | 26 · Professional part | $51.29 | $51.29 | $57.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $218.78 Median $1,258.93 Typical High $2,238.72 | Facility | None | $218.78 | $1,258.93 | $2,238.72 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $186.21 Median $218.78 Typical High $338.84 | Professional | None (both parts) | $186.21 | $218.78 | $338.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $72.44 Typical High $102.33 | Professional | 26 · Professional part | $51.29 | $72.44 | $102.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $144.54 Typical High $263.03 | Professional | TC · Technical part | $123.03 | $144.54 | $263.03 |
CareSource Setting Facility Modifier None Typical Low $56.23 Median $245.47 Typical High $302.00 | Facility | None | $56.23 | $245.47 | $302.00 |
CareSource Setting Professional Modifier None (both parts) Typical Low $51.29 Median $234.42 Typical High $331.13 | Professional | None (both parts) | $51.29 | $234.42 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $812.83 Typical High $1,047.13 | Facility | None | $371.54 | $812.83 | $1,047.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $346.74 Typical High $588.84 | Professional | None (both parts) | $245.47 | $346.74 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $69.18 Typical High $120.23 | Professional | 26 · Professional part | $52.48 | $69.18 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $269.15 Typical High $537.03 | Professional | TC · Technical part | $173.78 | $269.15 | $537.03 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $870.96 Median $933.25 Typical High $2,137.96 | Facility | None | $870.96 | $933.25 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $295.12 Median $389.05 Typical High $602.56 | Professional | None (both parts) | $295.12 | $389.05 | $602.56 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $67.61 Typical High $102.33 | Professional | 26 · Professional part | $53.70 | $67.61 | $102.33 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $323.59 Typical High $501.19 | Professional | TC · Technical part | $251.19 | $323.59 | $501.19 |
United Setting Professional Modifier None (both parts) Typical Low $288.40 Median $416.87 Typical High $758.58 | Professional | None (both parts) | $288.40 | $416.87 | $758.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $72.44 Typical High $128.82 | Professional | 26 · Professional part | $50.12 | $72.44 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $346.74 Typical High $630.96 | Professional | TC · Technical part | $229.09 | $346.74 | $630.96 |
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 $123.03 Median $147.91 Typical High $158.49 | Professional | 52 · Reduced service | $123.03 | $147.91 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $58.88 Typical High $64.57 | Professional | 53 · Discontinued | $48.98 | $58.88 | $64.57 |
Where Indiana sits
The same service costs 4.0 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· 49th of 51
$288
AK $1,047KY $263
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.