How much rates vary
Facilitymedian $832 · 10th to 90th $282 to $1,660Professionalmedian $275 · 10th to 90th $200 to $513
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 $281.84 Median $1,122.02 Typical High $1,548.82 | Facility | None | $281.84 | $1,122.02 | $1,548.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $281.84 Typical High $309.03 | Professional | None (both parts) | $234.42 | $281.84 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $29.51 Typical High $30.90 | Professional | 26 · Professional part | $26.30 | $29.51 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $251.19 Typical High $269.15 | Professional | TC · Technical part | $208.93 | $251.19 | $269.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $223.87 Median $1,174.90 Typical High $2,238.72 | Facility | None | $223.87 | $1,174.90 | $2,238.72 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $190.55 Median $223.87 Typical High $346.74 | Professional | None (both parts) | $190.55 | $223.87 | $346.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $44.67 Typical High $60.26 | Professional | 26 · Professional part | $29.51 | $44.67 | $60.26 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $177.83 Typical High $281.84 | Professional | TC · Technical part | $151.36 | $177.83 | $281.84 |
CareSource Setting Facility Modifier None Typical Low $32.36 Median $251.19 Typical High $288.40 | Facility | None | $32.36 | $251.19 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $436.52 Typical High $831.76 | Facility | None | $281.84 | $436.52 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $363.08 Typical High $562.34 | Professional | None (both parts) | $251.19 | $363.08 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $39.81 Typical High $69.18 | Professional | 26 · Professional part | $30.20 | $39.81 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $275.42 Typical High $549.54 | Professional | TC · Technical part | $213.80 | $275.42 | $549.54 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $831.76 Median $912.01 Typical High $2,137.96 | Facility | None | $831.76 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $281.84 Median $371.54 Typical High $575.44 | Professional | None (both parts) | $281.84 | $371.54 | $575.44 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $38.90 Typical High $57.54 | Professional | 26 · Professional part | $30.20 | $38.90 | $57.54 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $331.13 Typical High $512.86 | Professional | TC · Technical part | $257.04 | $331.13 | $512.86 |
United Setting Professional Modifier None (both parts) Typical Low $275.42 Median $398.11 Typical High $707.95 | Professional | None (both parts) | $275.42 | $398.11 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $41.69 Typical High $74.13 | Professional | 26 · Professional part | $28.84 | $41.69 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $363.08 Typical High $645.65 | Professional | TC · Technical part | $239.88 | $363.08 | $645.65 |
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 $117.49 Median $141.25 Typical High $154.88 | Professional | 52 · Reduced service | $117.49 | $141.25 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $56.23 Typical High $61.66 | Professional | 53 · Discontinued | $46.77 | $56.23 | $61.66 |
Where Indiana sits
The same service costs 4.4 times more in Alaska than in Kentucky. 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· 49th of 51
$282
AK $1,202KY $275
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.