How much rates vary
Facilitymedian $490 · 10th to 90th $170 to $2,188Professionalmedian $245 · 10th to 90th $151 to $355
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 $147.91 Median $1,122.02 Typical High $1,548.82 | Facility | None | $147.91 | $1,122.02 | $1,548.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $147.91 Typical High $158.49 | Professional | None (both parts) | $125.89 | $147.91 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $42.66 Typical High $44.67 | Professional | 26 · Professional part | $38.02 | $42.66 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $107.15 Typical High $114.82 | Professional | TC · Technical part | $89.13 | $107.15 | $114.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $245.47 Median $1,659.59 Typical High $2,818.38 | Facility | None | $245.47 | $1,659.59 | $2,818.38 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $151.36 Median $245.47 Typical High $331.13 | Professional | None (both parts) | $151.36 | $245.47 | $331.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $64.57 Typical High $87.10 | Professional | 26 · Professional part | $43.65 | $64.57 | $87.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $177.83 Typical High $251.19 | Professional | TC · Technical part | $109.65 | $177.83 | $251.19 |
CareSource Setting Facility Modifier None Typical Low $46.77 Median $109.65 Typical High $154.88 | Facility | None | $46.77 | $109.65 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $331.13 Typical High $467.74 | Facility | None | $165.96 | $331.13 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $275.42 Typical High $398.11 | Professional | None (both parts) | $194.98 | $275.42 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $56.23 Typical High $97.72 | Professional | 26 · Professional part | $43.65 | $56.23 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $204.17 Typical High $263.03 | Professional | TC · Technical part | $114.82 | $204.17 | $263.03 |
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 $151.36 Median $199.53 Typical High $309.03 | Professional | None (both parts) | $151.36 | $199.53 | $309.03 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $56.23 Typical High $83.18 | Professional | 26 · Professional part | $43.65 | $56.23 | $83.18 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $144.54 Typical High $223.87 | Professional | TC · Technical part | $109.65 | $144.54 | $223.87 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $234.42 Typical High $371.54 | Professional | None (both parts) | $165.96 | $234.42 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $60.26 Typical High $107.15 | Professional | 26 · Professional part | $42.66 | $60.26 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $173.78 Typical High $288.40 | Professional | TC · Technical part | $120.23 | $173.78 | $288.40 |
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 $63.10 Median $74.13 Typical High $79.43 | Professional | 52 · Reduced service | $63.10 | $74.13 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $30.20 Typical High $32.36 | Professional | 53 · Discontinued | $25.12 | $30.20 | $32.36 |
Where Indiana sits
The same service costs 4.8 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· 27th of 51
$245
AK $676TX $141
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.