How much rates vary
Facilitymedian $302 · 10th to 90th $98 to $1,230Professionalmedian $148 · 10th to 90th $93 to $219
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 $91.20 Median $870.96 Typical High $1,174.90 | Facility | None | $91.20 | $870.96 | $1,174.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $91.20 Typical High $117.49 | Professional | None (both parts) | $79.43 | $91.20 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $17.78 Typical High $18.62 | Professional | 26 · Professional part | $15.85 | $17.78 | $18.62 |
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 $147.91 Median $416.87 Typical High $1,621.81 | Facility | None | $147.91 | $416.87 | $1,621.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $95.50 Median $147.91 Typical High $199.53 | Professional | None (both parts) | $95.50 | $147.91 | $199.53 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $30.90 Typical High $41.69 | Professional | 26 · Professional part | $18.20 | $30.90 | $41.69 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $114.82 Typical High $162.18 | Professional | TC · Technical part | $77.62 | $114.82 | $162.18 |
CareSource Setting Facility Modifier None Typical Low $19.50 Median $79.43 Typical High $97.72 | Facility | None | $19.50 | $79.43 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $199.53 Typical High $302.00 | Facility | None | $97.72 | $199.53 | $302.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $177.83 Typical High $251.19 | Professional | None (both parts) | $114.82 | $177.83 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $26.30 Typical High $40.74 | Professional | 26 · Professional part | $18.20 | $26.30 | $40.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $138.04 Typical High $181.97 | Professional | TC · Technical part | $75.86 | $138.04 | $181.97 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $288.40 Median $912.01 Typical High $2,137.96 | Facility | None | $288.40 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $95.50 Median $123.03 Typical High $190.55 | Professional | None (both parts) | $95.50 | $123.03 | $190.55 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $23.44 Typical High $34.67 | Professional | 26 · Professional part | $18.62 | $23.44 | $34.67 |
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 $95.50 Median $138.04 Typical High $229.09 | Professional | None (both parts) | $95.50 | $138.04 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $25.12 Typical High $44.67 | Professional | 26 · Professional part | $17.78 | $25.12 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $112.20 Typical High $181.97 | Professional | TC · Technical part | $77.62 | $112.20 | $181.97 |
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 $39.81 Median $45.71 Typical High $48.98 | Professional | 52 · Reduced service | $39.81 | $45.71 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $18.20 Typical High $19.50 | Professional | 53 · Discontinued | $15.85 | $18.20 | $19.50 |
Where Indiana sits
The same service costs 5.0 times more in Alabama than in New York. 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· 29th of 51
$148
AL $479NY $95.50
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.