How much rates vary
Facilitymedian $891 · 10th to 90th $224 to $4,074Professionalmedian $240 · 10th to 90th $182 to $437
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 $223.87 Median $3,019.95 Typical High $4,073.80 | Facility | None | $223.87 | $3,019.95 | $4,073.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $223.87 Typical High $251.19 | Professional | None (both parts) | $186.21 | $223.87 | $251.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $22.91 Typical High $23.99 | Professional | 26 · Professional part | $20.42 | $22.91 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $204.17 Typical High $218.78 | Professional | TC · Technical part | $165.96 | $204.17 | $218.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $204.17 Median $977.24 Typical High $5,248.07 | Facility | None | $204.17 | $977.24 | $5,248.07 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $173.78 Median $204.17 Typical High $316.23 | Professional | None (both parts) | $173.78 | $204.17 | $316.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $39.81 Typical High $53.70 | Professional | 26 · Professional part | $23.44 | $39.81 | $53.70 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $162.18 Typical High $257.04 | Professional | TC · Technical part | $138.04 | $162.18 | $257.04 |
CareSource Setting Facility Modifier None Typical Low $25.12 Median $204.17 Typical High $229.09 | Facility | None | $25.12 | $204.17 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $676.08 Typical High $891.25 | Facility | None | $501.19 | $676.08 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $309.03 Typical High $562.34 | Professional | None (both parts) | $234.42 | $309.03 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $34.67 Typical High $56.23 | Professional | 26 · Professional part | $23.44 | $34.67 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $263.03 Typical High $478.63 | Professional | TC · Technical part | $190.55 | $263.03 | $478.63 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $691.83 Median $912.01 Typical High $2,137.96 | Facility | None | $691.83 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $229.09 Median $295.12 Typical High $457.09 | Professional | None (both parts) | $229.09 | $295.12 | $457.09 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.20 Typical High $44.67 | Professional | 26 · Professional part | $23.99 | $30.20 | $44.67 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $269.15 Typical High $416.87 | Professional | TC · Technical part | $208.93 | $269.15 | $416.87 |
United Setting Professional Modifier None (both parts) Typical Low $239.88 Median $346.74 Typical High $588.84 | Professional | None (both parts) | $239.88 | $346.74 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $33.88 Typical High $57.54 | Professional | 26 · Professional part | $25.12 | $33.88 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $316.23 Typical High $524.81 | Professional | TC · Technical part | $218.78 | $316.23 | $524.81 |
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 $93.33 Median $112.20 Typical High $123.03 | Professional | 52 · Reduced service | $93.33 | $112.20 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $44.67 Typical High $48.98 | Professional | 53 · Discontinued | $37.15 | $44.67 | $48.98 |
Where Indiana sits
The same service costs 4.3 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· 49th of 51
$245
AK $1,000TX $234
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.