How much rates vary
Facilitymedian $603 · 10th to 90th $214 to $2,188Professionalmedian $245 · 10th to 90th $191 to $380
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 $186.21 Median $1,122.02 Typical High $1,548.82 | Facility | None | $186.21 | $1,122.02 | $1,548.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $186.21 Typical High $199.53 | Professional | None (both parts) | $158.49 | $186.21 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $39.81 Typical High $41.69 | Professional | 26 · Professional part | $36.31 | $39.81 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $147.91 Typical High $158.49 | Professional | TC · Technical part | $123.03 | $147.91 | $158.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $245.47 Median $1,659.59 Typical High $2,238.72 | Facility | None | $245.47 | $1,659.59 | $2,238.72 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $190.55 Median $245.47 Typical High $346.74 | Professional | None (both parts) | $190.55 | $245.47 | $346.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $60.26 Typical High $81.28 | Professional | 26 · Professional part | $40.74 | $60.26 | $81.28 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $186.21 Typical High $275.42 | Professional | TC · Technical part | $147.91 | $186.21 | $275.42 |
CareSource Setting Facility Modifier None Typical Low $44.67 Median $151.36 Typical High $194.98 | Facility | None | $44.67 | $151.36 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $346.74 Typical High $501.19 | Facility | None | $213.80 | $346.74 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $288.40 Typical High $426.58 | Professional | None (both parts) | $204.17 | $288.40 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $53.70 Typical High $93.33 | Professional | 26 · Professional part | $41.69 | $53.70 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $223.87 Typical High $354.81 | Professional | TC · Technical part | $154.88 | $223.87 | $354.81 |
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 $190.55 Median $245.47 Typical High $380.19 | Professional | None (both parts) | $190.55 | $245.47 | $380.19 |
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 $151.36 Median $194.98 Typical High $302.00 | Professional | TC · Technical part | $151.36 | $194.98 | $302.00 |
United Setting Professional Modifier None (both parts) Typical Low $204.17 Median $288.40 Typical High $478.63 | Professional | None (both parts) | $204.17 | $288.40 | $478.63 |
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 $165.96 Median $229.09 Typical High $380.19 | Professional | TC · Technical part | $165.96 | $229.09 | $380.19 |
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 $79.43 Median $93.33 Typical High $100.00 | Professional | 52 · Reduced service | $79.43 | $93.33 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $37.15 Typical High $39.81 | Professional | 53 · Discontinued | $31.62 | $37.15 | $39.81 |
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· 38th of 51
$245
AK $832TX $182
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.