How much rates vary
Facilitymedian $676 · 10th to 90th $145 to $2,089Professionalmedian $155 · 10th to 90th $123 to $282
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 $138.04 Median $1,122.02 Typical High $1,548.82 | Facility | None | $138.04 | $1,122.02 | $1,548.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $138.04 Typical High $154.88 | Professional | None (both parts) | $123.03 | $138.04 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $31.62 Typical High $37.15 | Professional | 26 · Professional part | $30.20 | $31.62 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $107.15 Typical High $114.82 | Professional | TC · Technical part | $91.20 | $107.15 | $114.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $144.54 Median $676.08 Typical High $2,238.72 | Facility | None | $144.54 | $676.08 | $2,238.72 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $123.03 Median $144.54 Typical High $223.87 | Professional | None (both parts) | $123.03 | $144.54 | $223.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $50.12 Typical High $69.18 | Professional | 26 · Professional part | $33.88 | $50.12 | $69.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $93.33 Typical High $147.91 | Professional | TC · Technical part | $79.43 | $93.33 | $147.91 |
CareSource Setting Facility Modifier None Typical Low $37.15 Median $112.20 Typical High $151.36 | Facility | None | $37.15 | $112.20 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $371.54 Typical High $457.09 | Facility | None | $295.12 | $371.54 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $186.21 Typical High $354.81 | Professional | None (both parts) | $154.88 | $186.21 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $43.65 Typical High $77.62 | Professional | 26 · Professional part | $34.67 | $43.65 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $144.54 Typical High $275.42 | Professional | TC · Technical part | $104.71 | $144.54 | $275.42 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $457.09 Median $912.01 Typical High $2,137.96 | Facility | None | $457.09 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $144.54 Median $186.21 Typical High $302.00 | Professional | None (both parts) | $144.54 | $186.21 | $302.00 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $42.66 Typical High $66.07 | Professional | 26 · Professional part | $33.11 | $42.66 | $66.07 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $144.54 Typical High $234.42 | Professional | TC · Technical part | $114.82 | $144.54 | $234.42 |
United Setting Professional Modifier None (both parts) Typical Low $154.88 Median $218.78 Typical High $398.11 | Professional | None (both parts) | $154.88 | $218.78 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $45.71 Typical High $83.18 | Professional | 26 · Professional part | $32.36 | $45.71 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $173.78 Typical High $309.03 | Professional | TC · Technical part | $120.23 | $173.78 | $309.03 |
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 $61.66 Median $69.18 Typical High $77.62 | Professional | 52 · Reduced service | $61.66 | $69.18 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $27.54 Typical High $30.90 | Professional | 53 · Discontinued | $24.55 | $27.54 | $30.90 |
Where Indiana sits
The same service costs 4.8 times more in Alabama 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
$162
AL $661TX $138
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.