How much rates vary
Facilitymedian $631 · 10th to 90th $204 to $1,230Professionalmedian $204 · 10th to 90th $148 to $389
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 $208.93 Median $870.96 Typical High $1,174.90 | Facility | None | $208.93 | $870.96 | $1,174.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $208.93 Typical High $263.03 | Professional | None (both parts) | $177.83 | $208.93 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $28.18 Typical High $29.51 | Professional | 26 · Professional part | $25.70 | $28.18 | $29.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $181.97 Typical High $204.17 | Professional | TC · Technical part | $151.36 | $181.97 | $204.17 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 26 · Professional part | $28.84 | $28.84 | $28.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $162.18 Median $933.25 Typical High $1,621.81 | Facility | None | $162.18 | $933.25 | $1,621.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $138.04 Median $162.18 Typical High $251.19 | Professional | None (both parts) | $138.04 | $162.18 | $251.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $43.65 Typical High $58.88 | Professional | 26 · Professional part | $28.84 | $43.65 | $58.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $120.23 Typical High $204.17 | Professional | TC · Technical part | $102.33 | $120.23 | $204.17 |
CareSource Setting Facility Modifier None Typical Low $31.62 Median $186.21 Typical High $218.78 | Facility | None | $31.62 | $186.21 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $316.23 Typical High $616.60 | Facility | None | $186.21 | $316.23 | $616.60 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $239.88 Typical High $389.05 | Professional | None (both parts) | $181.97 | $239.88 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $38.02 Typical High $66.07 | Professional | 26 · Professional part | $30.20 | $38.02 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $177.83 Typical High $338.84 | Professional | TC · Technical part | $144.54 | $177.83 | $338.84 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $645.65 Median $912.01 Typical High $2,137.96 | Facility | None | $645.65 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $213.80 Median $275.42 Typical High $426.58 | Professional | None (both parts) | $213.80 | $275.42 | $426.58 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $37.15 Typical High $56.23 | Professional | 26 · Professional part | $29.51 | $37.15 | $56.23 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $239.88 Typical High $371.54 | Professional | TC · Technical part | $186.21 | $239.88 | $371.54 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $288.40 Typical High $549.54 | Professional | None (both parts) | $158.49 | $288.40 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $39.81 Typical High $69.18 | Professional | 26 · Professional part | $28.18 | $39.81 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $251.19 Typical High $478.63 | Professional | TC · Technical part | $125.89 | $251.19 | $478.63 |
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 $89.13 Median $104.71 Typical High $114.82 | Professional | 52 · Reduced service | $89.13 | $104.71 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $41.69 Typical High $45.71 | Professional | 53 · Discontinued | $35.48 | $41.69 | $45.71 |
Where Indiana sits
The same service costs 5.2 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· 45th of 51
$209
AK $933KY $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.