How much rates vary
Facilitymedian $741 · 10th to 90th $186 to $1,622Professionalmedian $191 · 10th to 90th $141 to $347
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 $186.21 Median $870.96 Typical High $1,174.90 | Facility | None | $186.21 | $870.96 | $1,174.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $186.21 Typical High $204.17 | Professional | None (both parts) | $158.49 | $186.21 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $21.38 Typical High $22.39 | Professional | 26 · Professional part | $19.50 | $21.38 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $165.96 Typical High $177.83 | Professional | TC · Technical part | $141.25 | $165.96 | $177.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $158.49 Median $812.83 Typical High $1,621.81 | Facility | None | $158.49 | $812.83 | $1,621.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $134.90 Median $158.49 Typical High $245.47 | Professional | None (both parts) | $134.90 | $158.49 | $245.47 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $31.62 Typical High $44.67 | Professional | 26 · Professional part | $21.88 | $31.62 | $44.67 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $125.89 Typical High $199.53 | Professional | TC · Technical part | $107.15 | $125.89 | $199.53 |
CareSource Setting Facility Modifier None Typical Low $23.99 Median $169.82 Typical High $194.98 | Facility | None | $23.99 | $169.82 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $562.34 Typical High $707.95 | Facility | None | $269.15 | $562.34 | $707.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $245.47 Typical High $407.38 | Professional | None (both parts) | $177.83 | $245.47 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $28.84 Typical High $48.98 | Professional | 26 · Professional part | $22.39 | $28.84 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $173.78 Typical High $354.81 | Professional | TC · Technical part | $151.36 | $173.78 | $354.81 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $575.44 Median $912.01 Typical High $2,137.96 | Facility | None | $575.44 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $194.98 Median $251.19 Typical High $389.05 | Professional | None (both parts) | $194.98 | $251.19 | $389.05 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $28.18 Typical High $42.66 | Professional | 26 · Professional part | $22.39 | $28.18 | $42.66 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $218.78 Typical High $346.74 | Professional | TC · Technical part | $173.78 | $218.78 | $346.74 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $263.03 Typical High $467.74 | Professional | None (both parts) | $173.78 | $263.03 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $29.51 Typical High $52.48 | Professional | 26 · Professional part | $20.89 | $29.51 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $229.09 Typical High $407.38 | Professional | TC · Technical part | $151.36 | $229.09 | $407.38 |
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 $79.43 Median $93.33 Typical High $102.33 | Professional | 52 · Reduced service | $79.43 | $93.33 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $37.15 Typical High $40.74 | Professional | 53 · Discontinued | $31.62 | $37.15 | $40.74 |
Where Indiana sits
The same service costs 4.8 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
$191
AK $851KY $178
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.