How much rates vary
Facilitymedian $617 · 10th to 90th $214 to $1,622Professionalmedian $309 · 10th to 90th $195 to $457
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 $190.55 Median $870.96 Typical High $1,174.90 | Facility | None | $190.55 | $870.96 | $1,174.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $190.55 Typical High $204.17 | Professional | None (both parts) | $165.96 | $190.55 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $51.29 Typical High $53.70 | Professional | 26 · Professional part | $45.71 | $51.29 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $141.25 Typical High $151.36 | Professional | TC · Technical part | $117.49 | $141.25 | $151.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $309.03 Median $1,230.27 Typical High $2,187.76 | Facility | None | $309.03 | $1,230.27 | $2,187.76 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $194.98 Median $309.03 Typical High $416.87 | Professional | None (both parts) | $194.98 | $309.03 | $416.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $72.44 Typical High $104.71 | Professional | 26 · Professional part | $52.48 | $72.44 | $104.71 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $234.42 Typical High $331.13 | Professional | TC · Technical part | $144.54 | $234.42 | $331.13 |
CareSource Setting Facility Modifier None Typical Low $56.23 Median $144.54 Typical High $204.17 | Facility | None | $56.23 | $144.54 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $407.38 Typical High $602.56 | Facility | None | $213.80 | $407.38 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $363.08 Typical High $524.81 | Professional | None (both parts) | $257.04 | $363.08 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $69.18 Typical High $120.23 | Professional | 26 · Professional part | $53.70 | $69.18 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $263.03 Typical High $346.74 | Professional | TC · Technical part | $151.36 | $263.03 | $346.74 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $588.84 Median $912.01 Typical High $2,137.96 | Facility | None | $588.84 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $194.98 Median $257.04 Typical High $398.11 | Professional | None (both parts) | $194.98 | $257.04 | $398.11 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $67.61 Typical High $102.33 | Professional | 26 · Professional part | $53.70 | $67.61 | $102.33 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $186.21 Typical High $295.12 | Professional | TC · Technical part | $144.54 | $186.21 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $302.00 Typical High $478.63 | Professional | None (both parts) | $213.80 | $302.00 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $72.44 Typical High $128.82 | Professional | 26 · Professional part | $51.29 | $72.44 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $229.09 Typical High $380.19 | Professional | TC · Technical part | $158.49 | $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 $81.28 Median $95.50 Typical High $102.33 | Professional | 52 · Reduced service | $81.28 | $95.50 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $38.90 Typical High $40.74 | Professional | 53 · Discontinued | $33.11 | $38.90 | $40.74 |
Where Indiana sits
The same service costs 4.7 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· 24th of 51
$309
AK $851TX $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.