How much rates vary
Facilitymedian $912 · 10th to 90th $380 to $2,188Professionalmedian $380 · 10th to 90th $251 to $575
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 $239.88 Median $870.96 Typical High $1,174.90 | Facility | None | $239.88 | $870.96 | $1,174.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $239.88 Typical High $302.00 | Professional | None (both parts) | $204.17 | $239.88 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $63.10 Typical High $66.07 | Professional | 26 · Professional part | $57.54 | $63.10 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $177.83 Typical High $190.55 | Professional | TC · Technical part | $147.91 | $177.83 | $190.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $380.19 Median $1,230.27 Typical High $2,818.38 | Facility | None | $380.19 | $1,230.27 | $2,818.38 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $251.19 Median $380.19 Typical High $512.86 | Professional | None (both parts) | $251.19 | $380.19 | $512.86 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $95.50 Typical High $131.83 | Professional | 26 · Professional part | $66.07 | $95.50 | $131.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $281.84 Typical High $398.11 | Professional | TC · Technical part | $181.97 | $281.84 | $398.11 |
CareSource Setting Facility Modifier None Typical Low $70.79 Median $181.97 Typical High $251.19 | Facility | None | $70.79 | $181.97 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $602.56 Typical High $776.25 | Facility | None | $269.15 | $602.56 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $457.09 Typical High $676.08 | Professional | None (both parts) | $281.84 | $457.09 | $676.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $85.11 Typical High $147.91 | Professional | 26 · Professional part | $66.07 | $85.11 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $331.13 Typical High $446.68 | Professional | TC · Technical part | $190.55 | $331.13 | $446.68 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $758.58 Median $912.01 Typical High $2,137.96 | Facility | None | $758.58 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $245.47 Median $323.59 Typical High $501.19 | Professional | None (both parts) | $245.47 | $323.59 | $501.19 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $85.11 Typical High $125.89 | Professional | 26 · Professional part | $66.07 | $85.11 | $125.89 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $239.88 Typical High $371.54 | Professional | TC · Technical part | $186.21 | $239.88 | $371.54 |
United Setting Professional Modifier None (both parts) Typical Low $275.42 Median $371.54 Typical High $616.60 | Professional | None (both parts) | $275.42 | $371.54 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $89.13 Typical High $158.49 | Professional | 26 · Professional part | $63.10 | $89.13 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $288.40 Typical High $457.09 | Professional | TC · Technical part | $204.17 | $288.40 | $457.09 |
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 $102.33 Median $120.23 Typical High $128.82 | Professional | 52 · Reduced service | $102.33 | $120.23 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $48.98 Typical High $52.48 | Professional | 53 · Discontinued | $41.69 | $48.98 | $52.48 |
Where Indiana sits
The same service costs 5.1 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· 29th of 51
$380
AK $1,096TX $214
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.