How much rates vary
Facilitymedian $447 · 10th to 90th $141 to $1,230Professionalmedian $145 · 10th to 90th $98 to $269
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 $147.91 Median $870.96 Typical High $1,174.90 | Facility | None | $147.91 | $870.96 | $1,174.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $147.91 Typical High $162.18 | Professional | None (both parts) | $125.89 | $147.91 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $19.50 Typical High $20.42 | Professional | 26 · Professional part | $17.78 | $19.50 | $20.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $128.82 Typical High $138.04 | Professional | TC · Technical part | $107.15 | $128.82 | $138.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $107.15 Median $630.96 Typical High $1,621.81 | Facility | None | $107.15 | $630.96 | $1,621.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $91.20 Median $107.15 Typical High $165.96 | Professional | None (both parts) | $91.20 | $107.15 | $165.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $30.20 Typical High $40.74 | Professional | 26 · Professional part | $19.95 | $30.20 | $40.74 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $77.62 Typical High $138.04 | Professional | TC · Technical part | $66.07 | $77.62 | $138.04 |
CareSource Setting Facility Modifier None Typical Low $21.88 Median $131.83 Typical High $154.88 | Facility | None | $21.88 | $131.83 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $269.15 Typical High $436.52 | Facility | None | $141.25 | $269.15 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $169.82 Typical High $288.40 | Professional | None (both parts) | $117.49 | $169.82 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $26.30 Typical High $45.71 | Professional | 26 · Professional part | $20.42 | $26.30 | $45.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $131.83 Typical High $275.42 | Professional | TC · Technical part | $95.50 | $131.83 | $275.42 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $446.68 Median $912.01 Typical High $2,137.96 | Facility | None | $446.68 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $151.36 Median $194.98 Typical High $302.00 | Professional | None (both parts) | $151.36 | $194.98 | $302.00 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $26.30 Typical High $38.90 | Professional | 26 · Professional part | $20.42 | $26.30 | $38.90 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $169.82 Typical High $263.03 | Professional | TC · Technical part | $134.90 | $169.82 | $263.03 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $204.17 Typical High $371.54 | Professional | None (both parts) | $134.90 | $204.17 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $28.18 Typical High $50.12 | Professional | 26 · Professional part | $19.50 | $28.18 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $177.83 Typical High $323.59 | Professional | TC · Technical part | $112.20 | $177.83 | $323.59 |
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 $63.10 Median $74.13 Typical High $81.28 | Professional | 52 · Reduced service | $63.10 | $74.13 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $29.51 Typical High $32.36 | Professional | 53 · Discontinued | $25.12 | $29.51 | $32.36 |
Where Indiana sits
The same service costs 4.7 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
$148
AK $646KY $138
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.