How much rates vary
Facilitymedian $646 · 10th to 90th $166 to $1,622Professionalmedian $166 · 10th to 90th $123 to $309
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 $165.96 Median $870.96 Typical High $1,174.90 | Facility | None | $165.96 | $870.96 | $1,174.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $165.96 Typical High $177.83 | Professional | None (both parts) | $138.04 | $165.96 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $21.38 Typical High $22.39 | Professional | 26 · Professional part | $19.05 | $21.38 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $141.25 Typical High $154.88 | Professional | TC · Technical part | $120.23 | $141.25 | $154.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $134.90 Median $707.95 Typical High $1,621.81 | Facility | None | $134.90 | $707.95 | $1,621.81 |
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 $21.88 Median $31.62 Typical High $43.65 | Professional | 26 · Professional part | $21.88 | $31.62 | $43.65 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $104.71 Typical High $165.96 | Professional | TC · Technical part | $87.10 | $104.71 | $165.96 |
CareSource Setting Facility Modifier None Typical Low $23.44 Median $147.91 Typical High $169.82 | Facility | None | $23.44 | $147.91 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $489.78 Typical High $616.60 | Facility | None | $269.15 | $489.78 | $616.60 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $218.78 Typical High $354.81 | Professional | None (both parts) | $151.36 | $218.78 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $28.84 Typical High $50.12 | Professional | 26 · Professional part | $22.39 | $28.84 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $154.88 Typical High $309.03 | Professional | TC · Technical part | $125.89 | $154.88 | $309.03 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $501.19 Median $912.01 Typical High $2,137.96 | Facility | None | $501.19 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $169.82 Median $218.78 Typical High $338.84 | Professional | None (both parts) | $169.82 | $218.78 | $338.84 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $28.18 Typical High $41.69 | Professional | 26 · Professional part | $21.88 | $28.18 | $41.69 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $190.55 Typical High $295.12 | Professional | TC · Technical part | $147.91 | $190.55 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $234.42 Typical High $416.87 | Professional | None (both parts) | $158.49 | $234.42 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $29.51 Typical High $52.48 | Professional | 26 · Professional part | $20.89 | $29.51 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $204.17 Typical High $363.08 | Professional | TC · Technical part | $134.90 | $204.17 | $363.08 |
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 $69.18 Median $81.28 Typical High $89.13 | Professional | 52 · Reduced service | $69.18 | $81.28 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $33.11 Typical High $36.31 | Professional | 53 · Discontinued | $28.18 | $33.11 | $36.31 |
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· 49th of 51
$166
AK $741KY $162
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.