How much rates vary
Facilitymedian $2,138 · 10th to 90th $912 to $5,012Professionalmedian $912 · 10th to 90th $617 to $2,291
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 $1,288.25 Median $4,466.84 Typical High $5,248.07 | Facility | None | $1,288.25 | $4,466.84 | $5,248.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,288.25 Typical High $2,187.76 | Professional | None (both parts) | $1,047.13 | $1,288.25 | $2,187.76 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $100.00 Typical High $131.83 | Professional | 26 · Professional part | $100.00 | $100.00 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $1,202.26 Typical High $1,202.26 | Professional | TC · Technical part | $891.25 | $1,202.26 | $1,202.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $1,905.46 | Facility | None | $776.25 | $776.25 | $1,905.46 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $660.69 Median $776.25 Typical High $1,412.54 | Professional | None (both parts) | $660.69 | $776.25 | $1,412.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $138.04 Typical High $186.21 | Professional | 26 · Professional part | $79.43 | $138.04 | $186.21 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $549.54 Median $645.65 Typical High $1,380.38 | Professional | TC · Technical part | $549.54 | $645.65 | $1,380.38 |
CareSource Setting Facility Modifier None Typical Low $85.11 Median $407.38 Typical High $489.78 | Facility | None | $85.11 | $407.38 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $977.24 Median $1,348.96 Typical High $1,348.96 | Facility | None | $977.24 | $1,348.96 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $616.60 Typical High $1,023.29 | Professional | None (both parts) | $363.08 | $616.60 | $1,023.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $112.20 Typical High $524.81 | Professional | 26 · Professional part | $81.28 | $112.20 | $524.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $512.86 Typical High $851.14 | Professional | TC · Technical part | $245.47 | $512.86 | $851.14 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $2,089.30 Typical High $4,365.16 | Facility | None | $912.01 | $2,089.30 | $4,365.16 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $691.83 Median $1,778.28 Typical High $2,951.21 | Professional | None (both parts) | $691.83 | $1,778.28 | $2,951.21 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $102.33 Typical High $154.88 | Professional | 26 · Professional part | $81.28 | $102.33 | $154.88 |
United Setting Professional Modifier None (both parts) Typical Low $851.14 Median $1,698.24 Typical High $3,715.35 | Professional | None (both parts) | $851.14 | $1,698.24 | $3,715.35 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $109.65 Typical High $229.09 | Professional | 26 · Professional part | $77.62 | $109.65 | $229.09 |
United Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $1,584.89 Typical High $3,467.37 | Professional | TC · Technical part | $741.31 | $1,584.89 | $3,467.37 |
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 $501.19 Median $645.65 Typical High $660.69 | Professional | 52 · Reduced service | $501.19 | $645.65 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $257.04 Typical High $263.03 | Professional | 53 · Discontinued | $199.53 | $257.04 | $263.03 |
Where Indiana sits
The same service costs 15.1 times more in Nebraska than in Washington. 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· 46th of 51
$955
NE $3,090WA $204
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.