How much rates vary
Facilitymedian $676 · 10th to 90th $191 to $1,622Professionalmedian $191 · 10th to 90th $162 to $339
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 $173.78 Median $870.96 Typical High $1,174.90 | Facility | None | $173.78 | $870.96 | $1,174.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $173.78 Typical High $190.55 | Professional | None (both parts) | $147.91 | $173.78 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $39.81 Typical High $41.69 | Professional | 26 · Professional part | $35.48 | $39.81 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $134.90 Typical High $144.54 | Professional | TC · Technical part | $112.20 | $134.90 | $144.54 |
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 $39.81 Median $58.88 Typical High $79.43 | Professional | 26 · Professional part | $39.81 | $58.88 | $79.43 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $131.83 Typical High $204.17 | Professional | TC · Technical part | $112.20 | $131.83 | $204.17 |
CareSource Setting Facility Modifier None Typical Low $43.65 Median $138.04 Typical High $181.97 | Facility | None | $43.65 | $138.04 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $457.09 Typical High $575.44 | Facility | None | $269.15 | $457.09 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $263.03 Typical High $416.87 | Professional | None (both parts) | $199.53 | $263.03 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $53.70 Typical High $93.33 | Professional | 26 · Professional part | $40.74 | $53.70 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $181.97 Typical High $302.00 | Professional | TC · Technical part | $141.25 | $181.97 | $302.00 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $524.81 Median $912.01 Typical High $2,137.96 | Facility | None | $524.81 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $177.83 Median $234.42 Typical High $363.08 | Professional | None (both parts) | $177.83 | $234.42 | $363.08 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $52.48 Typical High $79.43 | Professional | 26 · Professional part | $41.69 | $52.48 | $79.43 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $177.83 Typical High $281.84 | Professional | TC · Technical part | $141.25 | $177.83 | $281.84 |
United Setting Professional Modifier None (both parts) Typical Low $177.83 Median $251.19 Typical High $436.52 | Professional | None (both parts) | $177.83 | $251.19 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $56.23 Typical High $100.00 | Professional | 26 · Professional part | $39.81 | $56.23 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $194.98 Typical High $338.84 | Professional | TC · Technical part | $138.04 | $194.98 | $338.84 |
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 $74.13 Median $87.10 Typical High $93.33 | Professional | 52 · Reduced service | $74.13 | $87.10 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $34.67 Typical High $38.02 | Professional | 53 · Discontinued | $29.51 | $34.67 | $38.02 |
Where Indiana sits
The same service costs 5.0 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 $776TX $155
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.