How much rates vary
Facilitymedian $912 · 10th to 90th $257 to $3,020Professionalmedian $275 · 10th to 90th $214 to $501
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 $257.04 Median $3,019.95 Typical High $4,073.80 | Facility | None | $257.04 | $3,019.95 | $4,073.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $257.04 Typical High $316.23 | Professional | None (both parts) | $218.78 | $257.04 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $34.67 Typical High $36.31 | Professional | 26 · Professional part | $30.90 | $34.67 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $223.87 Typical High $245.47 | Professional | TC · Technical part | $181.97 | $223.87 | $245.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $251.19 Median $1,096.48 Typical High $2,238.72 | Facility | None | $251.19 | $1,096.48 | $2,238.72 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $213.80 Median $251.19 Typical High $389.05 | Professional | None (both parts) | $213.80 | $251.19 | $389.05 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $56.23 Typical High $75.86 | Professional | 26 · Professional part | $34.67 | $56.23 | $75.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $194.98 Typical High $302.00 | Professional | TC · Technical part | $165.96 | $194.98 | $302.00 |
CareSource Setting Facility Modifier None Typical Low $38.02 Median $223.87 Typical High $263.03 | Facility | None | $38.02 | $223.87 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $741.31 Typical High $933.25 | Facility | None | $371.54 | $741.31 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $338.84 Typical High $616.60 | Professional | None (both parts) | $281.84 | $338.84 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $48.98 Typical High $81.28 | Professional | 26 · Professional part | $35.48 | $48.98 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $263.03 Typical High $524.81 | Professional | TC · Technical part | $218.78 | $263.03 | $524.81 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $758.58 Median $912.01 Typical High $2,137.96 | Facility | None | $758.58 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $257.04 Median $338.84 Typical High $537.03 | Professional | None (both parts) | $257.04 | $338.84 | $537.03 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $45.71 Typical High $67.61 | Professional | 26 · Professional part | $35.48 | $45.71 | $67.61 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $295.12 Typical High $467.74 | Professional | TC · Technical part | $223.87 | $295.12 | $467.74 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $380.19 Typical High $676.08 | Professional | None (both parts) | $269.15 | $380.19 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $50.12 Typical High $87.10 | Professional | 26 · Professional part | $34.67 | $50.12 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $331.13 Typical High $588.84 | Professional | TC · Technical part | $229.09 | $331.13 | $588.84 |
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 $107.15 Median $128.82 Typical High $141.25 | Professional | 52 · Reduced service | $107.15 | $128.82 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $51.29 Typical High $56.23 | Professional | 53 · Discontinued | $42.66 | $51.29 | $56.23 |
Where Indiana sits
The same service costs 3.7 times more in Alaska 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
$275
AK $955FL $257
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.