How much rates vary
Facilitymedian $537 · 10th to 90th $174 to $1,660Professionalmedian $174 · 10th to 90th $120 to $324
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 $173.78 Median $1,122.02 Typical High $1,548.82 | Facility | None | $173.78 | $1,122.02 | $1,548.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $173.78 Typical High $190.55 | Professional | None (both parts) | $151.36 | $173.78 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $21.88 Typical High $22.39 | Professional | 26 · Professional part | $19.95 | $21.88 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $151.36 Typical High $162.18 | Professional | TC · Technical part | $131.83 | $151.36 | $162.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $134.90 Median $776.25 Typical High $2,238.72 | Facility | None | $134.90 | $776.25 | $2,238.72 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $114.82 Median $134.90 Typical High $208.93 | Professional | None (both parts) | $114.82 | $134.90 | $208.93 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $33.11 Typical High $44.67 | Professional | 26 · Professional part | $22.39 | $33.11 | $44.67 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $102.33 Typical High $169.82 | Professional | TC · Technical part | $87.10 | $102.33 | $169.82 |
CareSource Setting Facility Modifier None Typical Low $24.55 Median $162.18 Typical High $186.21 | Facility | None | $24.55 | $162.18 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $331.13 Typical High $524.81 | Facility | None | $177.83 | $331.13 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $218.78 Typical High $363.08 | Professional | None (both parts) | $151.36 | $218.78 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $29.51 Typical High $50.12 | Professional | 26 · Professional part | $22.39 | $29.51 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $165.96 Typical High $316.23 | Professional | TC · Technical part | $123.03 | $165.96 | $316.23 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $537.03 Median $912.01 Typical High $2,137.96 | Facility | None | $537.03 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $181.97 Median $229.09 Typical High $363.08 | Professional | None (both parts) | $181.97 | $229.09 | $363.08 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $28.84 Typical High $43.65 | Professional | 26 · Professional part | $22.91 | $28.84 | $43.65 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $204.17 Typical High $316.23 | Professional | TC · Technical part | $162.18 | $204.17 | $316.23 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $245.47 Typical High $436.52 | Professional | None (both parts) | $165.96 | $245.47 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $30.20 Typical High $53.70 | Professional | 26 · Professional part | $20.89 | $30.20 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $213.80 Typical High $380.19 | Professional | TC · Technical part | $144.54 | $213.80 | $380.19 |
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 $75.86 Median $87.10 Typical High $95.50 | Professional | 52 · Reduced service | $75.86 | $87.10 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $34.67 Typical High $38.02 | Professional | 53 · Discontinued | $30.20 | $34.67 | $38.02 |
Where Indiana sits
The same service costs 4.6 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· 48th of 51
$178
AK $776KY $170
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.