How much rates vary
Facilitymedian $776 · 10th to 90th $204 to $1,622Professionalmedian $214 · 10th to 90th $166 to $389
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 $204.17 Median $870.96 Typical High $1,174.90 | Facility | None | $204.17 | $870.96 | $1,174.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $204.17 Typical High $251.19 | Professional | None (both parts) | $173.78 | $204.17 | $251.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $30.20 Typical High $32.36 | Professional | 26 · Professional part | $26.92 | $30.20 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $173.78 Typical High $194.98 | Professional | TC · Technical part | $144.54 | $173.78 | $194.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $194.98 Median $870.96 Typical High $1,621.81 | Facility | None | $194.98 | $870.96 | $1,621.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $165.96 Median $194.98 Typical High $302.00 | Professional | None (both parts) | $165.96 | $194.98 | $302.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $44.67 Typical High $60.26 | Professional | 26 · Professional part | $30.20 | $44.67 | $60.26 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $151.36 Typical High $234.42 | Professional | TC · Technical part | $128.82 | $151.36 | $234.42 |
CareSource Setting Facility Modifier None Typical Low $33.11 Median $177.83 Typical High $213.80 | Facility | None | $33.11 | $177.83 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $588.84 Typical High $758.58 | Facility | None | $269.15 | $588.84 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $269.15 Typical High $489.78 | Professional | None (both parts) | $218.78 | $269.15 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $40.74 Typical High $69.18 | Professional | 26 · Professional part | $30.90 | $40.74 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $199.53 Typical High $416.87 | Professional | TC · Technical part | $169.82 | $199.53 | $416.87 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $616.60 Median $912.01 Typical High $2,137.96 | Facility | None | $616.60 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $208.93 Median $269.15 Typical High $416.87 | Professional | None (both parts) | $208.93 | $269.15 | $416.87 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $39.81 Typical High $60.26 | Professional | 26 · Professional part | $30.90 | $39.81 | $60.26 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $234.42 Typical High $363.08 | Professional | TC · Technical part | $181.97 | $234.42 | $363.08 |
United Setting Professional Modifier None (both parts) Typical Low $204.17 Median $288.40 Typical High $512.86 | Professional | None (both parts) | $204.17 | $288.40 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $41.69 Typical High $74.13 | Professional | 26 · Professional part | $28.84 | $41.69 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $245.47 Typical High $436.52 | Professional | TC · Technical part | $173.78 | $245.47 | $436.52 |
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 $87.10 Median $102.33 Typical High $112.20 | Professional | 52 · Reduced service | $87.10 | $102.33 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $40.74 Typical High $44.67 | Professional | 53 · Discontinued | $34.67 | $40.74 | $44.67 |
Where Indiana sits
The same service costs 4.2 times more in Alaska 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· 48th of 51
$219
AK $851FL $204
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.