How much rates vary
Facilitymedian $525 · 10th to 90th $191 to $1,230Professionalmedian $191 · 10th to 90th $162 to $331
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 $169.82 Median $870.96 Typical High $1,174.90 | Facility | None | $169.82 | $870.96 | $1,174.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $169.82 Typical High $181.97 | Professional | None (both parts) | $141.25 | $169.82 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $25.70 Typical High $26.92 | Professional | 26 · Professional part | $22.91 | $25.70 | $26.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $141.25 Typical High $151.36 | Professional | TC · Technical part | $117.49 | $141.25 | $151.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $190.55 Median $741.31 Typical High $1,621.81 | Facility | None | $190.55 | $741.31 | $1,621.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $162.18 Median $190.55 Typical High $295.12 | Professional | None (both parts) | $162.18 | $190.55 | $295.12 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $45.71 Typical High $61.66 | Professional | 26 · Professional part | $26.30 | $45.71 | $61.66 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $144.54 Typical High $223.87 | Professional | TC · Technical part | $123.03 | $144.54 | $223.87 |
CareSource Setting Facility Modifier None Typical Low $28.18 Median $144.54 Typical High $173.78 | Facility | None | $28.18 | $144.54 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $323.59 Typical High $512.86 | Facility | None | $194.98 | $323.59 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $239.88 Typical High $363.08 | Professional | None (both parts) | $194.98 | $239.88 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $39.81 Typical High $63.10 | Professional | 26 · Professional part | $26.92 | $39.81 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $194.98 Typical High $338.84 | Professional | TC · Technical part | $154.88 | $194.98 | $338.84 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $512.86 Median $912.01 Typical High $2,137.96 | Facility | None | $512.86 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $169.82 Median $223.87 Typical High $346.74 | Professional | None (both parts) | $169.82 | $223.87 | $346.74 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $33.88 Typical High $51.29 | Professional | 26 · Professional part | $26.92 | $33.88 | $51.29 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $186.21 Typical High $295.12 | Professional | TC · Technical part | $144.54 | $186.21 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $186.21 Median $269.15 Typical High $436.52 | Professional | None (both parts) | $186.21 | $269.15 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $38.90 Typical High $64.57 | Professional | 26 · Professional part | $28.18 | $38.90 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $229.09 Typical High $371.54 | Professional | TC · Technical part | $154.88 | $229.09 | $371.54 |
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 $70.79 Median $83.18 Typical High $91.20 | Professional | 52 · Reduced service | $70.79 | $83.18 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $33.88 Typical High $36.31 | Professional | 53 · Discontinued | $28.18 | $33.88 | $36.31 |
Where Indiana sits
The same service costs 4.4 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· 47th of 51
$195
AK $741TX $170
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.