How much rates vary
Facilitymedian $1,148 · 10th to 90th $525 to $2,291Professionalmedian $513 · 10th to 90th $331 to $955
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 $524.81 Median $3,019.95 Typical High $4,073.80 | Facility | None | $524.81 | $3,019.95 | $4,073.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $537.03 Typical High $660.69 | Professional | None (both parts) | $436.52 | $537.03 | $660.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $43.65 Typical High $51.29 | Professional | 26 · Professional part | $38.90 | $43.65 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $489.78 Typical High $549.54 | Professional | TC · Technical part | $398.11 | $489.78 | $549.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $398.11 Median $1,659.59 Typical High $2,238.72 | Facility | None | $398.11 | $1,659.59 | $2,238.72 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $331.13 Median $398.11 Typical High $616.60 | Professional | None (both parts) | $331.13 | $398.11 | $616.60 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $67.61 Typical High $91.20 | Professional | 26 · Professional part | $43.65 | $67.61 | $91.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $323.59 Typical High $524.81 | Professional | TC · Technical part | $275.42 | $323.59 | $524.81 |
CareSource Setting Facility Modifier None Typical Low $47.86 Median $489.78 Typical High $537.03 | Facility | None | $47.86 | $489.78 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $676.08 Typical High $1,621.81 | Facility | None | $524.81 | $676.08 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $616.60 Typical High $1,047.13 | Professional | None (both parts) | $263.03 | $616.60 | $1,047.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $60.26 Typical High $100.00 | Professional | 26 · Professional part | $44.67 | $60.26 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $501.19 Typical High $1,000.00 | Professional | TC · Technical part | $194.98 | $501.19 | $1,000.00 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $1,584.89 Typical High $2,137.96 | Facility | None | $912.01 | $1,584.89 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $537.03 Median $707.95 Typical High $1,096.48 | Professional | None (both parts) | $537.03 | $707.95 | $1,096.48 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $57.54 Typical High $85.11 | Professional | 26 · Professional part | $44.67 | $57.54 | $85.11 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $645.65 Typical High $1,000.00 | Professional | TC · Technical part | $501.19 | $645.65 | $1,000.00 |
United Setting Professional Modifier None (both parts) Typical Low $478.63 Median $741.31 Typical High $1,380.38 | Professional | None (both parts) | $478.63 | $741.31 | $1,380.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $61.66 Typical High $109.65 | Professional | 26 · Professional part | $43.65 | $61.66 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $691.83 Typical High $1,288.25 | Professional | TC · Technical part | $436.52 | $691.83 | $1,288.25 |
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 $218.78 Median $269.15 Typical High $295.12 | Professional | 52 · Reduced service | $218.78 | $269.15 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $107.15 Typical High $117.49 | Professional | 53 · Discontinued | $87.10 | $107.15 | $117.49 |
Where Indiana sits
The same service costs 4.4 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· 50th of 51
$525
AK $1,950KY $447
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.