How much rates vary
Facilitymedian $282 · 10th to 90th $100 to $1,230Professionalmedian $98 · 10th to 90th $74 to $170
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 $100.00 Median $870.96 Typical High $1,174.90 | Facility | None | $100.00 | $870.96 | $1,174.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $100.00 Typical High $112.20 | Professional | None (both parts) | $75.86 | $100.00 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $16.22 Typical High $16.98 | Professional | 26 · Professional part | $14.13 | $16.22 | $16.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $85.11 Typical High $91.20 | Professional | TC · Technical part | $61.66 | $85.11 | $91.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $87.10 Median $398.11 Typical High $1,621.81 | Facility | None | $87.10 | $398.11 | $1,621.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $74.13 Median $87.10 Typical High $134.90 | Professional | None (both parts) | $74.13 | $87.10 | $134.90 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $24.55 Typical High $33.11 | Professional | 26 · Professional part | $16.22 | $24.55 | $33.11 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $63.10 Typical High $97.72 | Professional | TC · Technical part | $53.70 | $63.10 | $97.72 |
CareSource Setting Facility Modifier None Typical Low $17.38 Median $75.86 Typical High $93.33 | Facility | None | $17.38 | $75.86 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $177.83 Typical High $251.19 | Facility | None | $100.00 | $177.83 | $251.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $117.49 Typical High $190.55 | Professional | None (both parts) | $95.50 | $117.49 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $21.38 Typical High $36.31 | Professional | 26 · Professional part | $16.60 | $21.38 | $36.31 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $85.11 Typical High $169.82 | Professional | TC · Technical part | $70.79 | $85.11 | $169.82 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $281.84 Median $912.01 Typical High $2,137.96 | Facility | None | $281.84 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $91.20 Median $114.82 Typical High $181.97 | Professional | None (both parts) | $91.20 | $114.82 | $181.97 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $20.89 Typical High $31.62 | Professional | 26 · Professional part | $16.22 | $20.89 | $31.62 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $97.72 Typical High $151.36 | Professional | TC · Technical part | $75.86 | $97.72 | $151.36 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $128.82 Typical High $229.09 | Professional | None (both parts) | $85.11 | $128.82 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $22.39 Typical High $39.81 | Professional | 26 · Professional part | $15.85 | $22.39 | $39.81 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $107.15 Typical High $190.55 | Professional | TC · Technical part | $67.61 | $107.15 | $190.55 |
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 $38.02 Median $50.12 Typical High $53.70 | Professional | 52 · Reduced service | $38.02 | $50.12 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $19.95 Typical High $21.38 | Professional | 53 · Discontinued | $15.14 | $19.95 | $21.38 |
Where Indiana sits
The same service costs 5.5 times more in Alabama than in Florida. 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· 48th of 51
$100
AL $479FL $87.10
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.