How much rates vary
Facilitymedian $302 · 10th to 90th $100 to $1,230Professionalmedian $141 · 10th to 90th $93 to $214
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 $93.33 Median $870.96 Typical High $1,174.90 | Facility | None | $93.33 | $870.96 | $1,174.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $93.33 Typical High $100.00 | Professional | None (both parts) | $81.28 | $93.33 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $19.95 Typical High $20.42 | Professional | 26 · Professional part | $17.78 | $19.95 | $20.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $72.44 Typical High $79.43 | Professional | TC · Technical part | $64.57 | $72.44 | $79.43 |
Anthem BCBS Setting Facility Modifier None Typical Low $141.25 Median $416.87 Typical High $1,621.81 | Facility | None | $141.25 | $416.87 | $1,621.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $97.72 Median $141.25 Typical High $194.98 | Professional | None (both parts) | $97.72 | $141.25 | $194.98 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $33.88 Typical High $45.71 | Professional | 26 · Professional part | $19.95 | $33.88 | $45.71 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $107.15 Typical High $154.88 | Professional | TC · Technical part | $77.62 | $107.15 | $154.88 |
CareSource Setting Facility Modifier None Typical Low $21.88 Median $77.62 Typical High $100.00 | Facility | None | $21.88 | $77.62 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $194.98 Typical High $281.84 | Facility | None | $100.00 | $194.98 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $169.82 Typical High $239.88 | Professional | None (both parts) | $125.89 | $169.82 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $30.20 Typical High $47.86 | Professional | 26 · Professional part | $19.95 | $30.20 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $131.83 Typical High $190.55 | Professional | TC · Technical part | $75.86 | $131.83 | $190.55 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $295.12 Median $912.01 Typical High $2,137.96 | Facility | None | $295.12 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $97.72 Median $125.89 Typical High $194.98 | Professional | None (both parts) | $97.72 | $125.89 | $194.98 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $25.70 Typical High $38.90 | Professional | 26 · Professional part | $20.42 | $25.70 | $38.90 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $97.72 Typical High $154.88 | Professional | TC · Technical part | $79.43 | $97.72 | $154.88 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $141.25 Typical High $229.09 | Professional | None (both parts) | $100.00 | $141.25 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $28.84 Typical High $48.98 | Professional | 26 · Professional part | $20.89 | $28.84 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $112.20 Typical High $186.21 | Professional | TC · Technical part | $77.62 | $112.20 | $186.21 |
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 $40.74 Median $46.77 Typical High $50.12 | Professional | 52 · Reduced service | $40.74 | $46.77 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $18.62 Typical High $19.95 | Professional | 53 · Discontinued | $16.22 | $18.62 | $19.95 |
Where Indiana sits
The same service costs 5.1 times more in Alabama than in Florida. 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· 31st of 51
$141
AL $479FL $93.33
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.