How much rates vary
Facilitymedian $741 · 10th to 90th $178 to $1,622Professionalmedian $186 · 10th to 90th $141 to $347
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 $177.83 Median $870.96 Typical High $1,174.90 | Facility | None | $177.83 | $870.96 | $1,174.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $177.83 Typical High $194.98 | Professional | None (both parts) | $151.36 | $177.83 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $30.90 Typical High $32.36 | Professional | 26 · Professional part | $28.18 | $30.90 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $147.91 Typical High $158.49 | Professional | TC · Technical part | $125.89 | $147.91 | $158.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $151.36 Median $831.76 Typical High $1,621.81 | Facility | None | $151.36 | $831.76 | $1,621.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $128.82 Median $151.36 Typical High $234.42 | Professional | None (both parts) | $128.82 | $151.36 | $234.42 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $47.86 Typical High $64.57 | Professional | 26 · Professional part | $32.36 | $47.86 | $64.57 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $102.33 Typical High $173.78 | Professional | TC · Technical part | $87.10 | $102.33 | $173.78 |
CareSource Setting Facility Modifier None Typical Low $34.67 Median $154.88 Typical High $186.21 | Facility | None | $34.67 | $154.88 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $501.19 Typical High $630.96 | Facility | None | $269.15 | $501.19 | $630.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $234.42 Typical High $407.38 | Professional | None (both parts) | $162.18 | $234.42 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $42.66 Typical High $72.44 | Professional | 26 · Professional part | $33.11 | $42.66 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $177.83 Typical High $338.84 | Professional | TC · Technical part | $123.03 | $177.83 | $338.84 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $575.44 Median $912.01 Typical High $2,137.96 | Facility | None | $575.44 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $186.21 Median $239.88 Typical High $371.54 | Professional | None (both parts) | $186.21 | $239.88 | $371.54 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $40.74 Typical High $63.10 | Professional | 26 · Professional part | $32.36 | $40.74 | $63.10 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $199.53 Typical High $309.03 | Professional | TC · Technical part | $154.88 | $199.53 | $309.03 |
United Setting Professional Modifier None (both parts) Typical Low $177.83 Median $263.03 Typical High $467.74 | Professional | None (both parts) | $177.83 | $263.03 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $43.65 Typical High $77.62 | Professional | 26 · Professional part | $30.90 | $43.65 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $218.78 Typical High $389.05 | Professional | TC · Technical part | $147.91 | $218.78 | $389.05 |
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 $89.13 Typical High $97.72 | Professional | 52 · Reduced service | $75.86 | $89.13 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $35.48 Typical High $38.90 | Professional | 53 · Discontinued | $30.90 | $35.48 | $38.90 |
Where Indiana sits
The same service costs 4.6 times more in Alaska than in Texas. 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
$191
AK $794TX $174
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.