How much rates vary
Facilitymedian $457 · 10th to 90th $151 to $1,230Professionalmedian $155 · 10th to 90th $115 to $282
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $151.36 Median $870.96 Typical High $1,174.90 | Facility | None | $151.36 | $870.96 | $1,174.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $151.36 Typical High $165.96 | Professional | None (both parts) | $128.82 | $151.36 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $19.05 Typical High $19.95 | Professional | 26 · Professional part | $16.98 | $19.05 | $19.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $131.83 Typical High $141.25 | Professional | TC · Technical part | $112.20 | $131.83 | $141.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $131.83 Median $676.08 Typical High $1,621.81 | Facility | None | $131.83 | $676.08 | $1,621.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $112.20 Median $131.83 Typical High $204.17 | Professional | None (both parts) | $112.20 | $131.83 | $204.17 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $29.51 Typical High $38.90 | Professional | 26 · Professional part | $19.50 | $29.51 | $38.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $102.33 Typical High $158.49 | Professional | TC · Technical part | $87.10 | $102.33 | $158.49 |
CareSource Setting Facility Modifier None Typical Low $20.89 Median $138.04 Typical High $158.49 | Facility | None | $20.89 | $138.04 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $288.40 Typical High $457.09 | Facility | None | $173.78 | $288.40 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $199.53 Typical High $316.23 | Professional | None (both parts) | $147.91 | $199.53 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $25.70 Typical High $44.67 | Professional | 26 · Professional part | $19.50 | $25.70 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $144.54 Typical High $309.03 | Professional | TC · Technical part | $120.23 | $144.54 | $309.03 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $467.74 Median $912.01 Typical High $2,137.96 | Facility | None | $467.74 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $154.88 Median $199.53 Typical High $316.23 | Professional | None (both parts) | $154.88 | $199.53 | $316.23 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $25.12 Typical High $38.02 | Professional | 26 · Professional part | $19.95 | $25.12 | $38.02 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $177.83 Typical High $275.42 | Professional | TC · Technical part | $138.04 | $177.83 | $275.42 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $218.78 Typical High $389.05 | Professional | None (both parts) | $147.91 | $218.78 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $26.92 Typical High $47.86 | Professional | 26 · Professional part | $19.05 | $26.92 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $190.55 Typical High $338.84 | Professional | TC · Technical part | $125.89 | $190.55 | $338.84 |
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 $64.57 Median $75.86 Typical High $83.18 | Professional | 52 · Reduced service | $64.57 | $75.86 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $30.20 Typical High $33.11 | Professional | 53 · Discontinued | $25.70 | $30.20 | $33.11 |
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· 50th of 51
$155
AK $676TX $145
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.