How much rates vary
Facilitymedian $3,890 · 10th to 90th $933 to $4,786Professionalmedian $1,259 · 10th to 90th $794 to $2,818
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 $1,288.25 Median $4,073.80 Typical High $5,248.07 | Facility | None | $1,288.25 | $4,073.80 | $5,248.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $1,288.25 Typical High $2,344.23 | Professional | None (both parts) | $1,258.93 | $1,288.25 | $2,344.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $100.00 Typical High $186.21 | Professional | 26 · Professional part | $100.00 | $100.00 | $186.21 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,000.00 Median $1,202.26 Typical High $1,513.56 | Professional | TC · Technical part | $1,000.00 | $1,202.26 | $1,513.56 |
Anthem BCBS Setting Facility Modifier None Typical Low $933.25 Median $4,365.16 Typical High $4,365.16 | Facility | None | $933.25 | $4,365.16 | $4,365.16 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $794.33 Median $933.25 Typical High $1,445.44 | Professional | None (both parts) | $794.33 | $933.25 | $1,445.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $104.71 Typical High $162.18 | Professional | 26 · Professional part | $89.13 | $104.71 | $162.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $831.76 Typical High $1,905.46 | Professional | TC · Technical part | $707.95 | $831.76 | $1,905.46 |
CareSource Setting Facility Modifier None Typical Low $104.71 Median $691.83 Typical High $794.33 | Facility | None | $104.71 | $691.83 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $1,621.81 Median $4,365.16 Typical High $4,365.16 | Facility | None | $1,621.81 | $4,365.16 | $4,365.16 |
Cigna Setting Professional Modifier None (both parts) Typical Low $812.83 Median $1,288.25 Typical High $3,715.35 | Professional | None (both parts) | $812.83 | $1,288.25 | $3,715.35 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $128.82 Typical High $263.03 | Professional | 26 · Professional part | $100.00 | $128.82 | $263.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $1,148.15 Typical High $4,365.16 | Professional | TC · Technical part | $831.76 | $1,148.15 | $4,365.16 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $2,089.30 Typical High $4,365.16 | Facility | None | $912.01 | $2,089.30 | $4,365.16 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $691.83 Median $1,819.70 Typical High $3,019.95 | Professional | None (both parts) | $691.83 | $1,819.70 | $3,019.95 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $125.89 Typical High $186.21 | Professional | 26 · Professional part | $97.72 | $125.89 | $186.21 |
United Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $2,137.96 Typical High $3,981.07 | Professional | None (both parts) | $1,288.25 | $2,137.96 | $3,981.07 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $131.83 Typical High $263.03 | Professional | 26 · Professional part | $93.33 | $131.83 | $263.03 |
United Setting Professional Modifier TC · Technical part Typical Low $1,174.90 Median $1,995.26 Typical High $3,801.89 | Professional | TC · Technical part | $1,174.90 | $1,995.26 | $3,801.89 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $851.14 Median $851.14 Typical High $1,412.54 | Professional | Q6 · Substitute physician, paid per time | $851.14 | $851.14 | $1,412.54 |
Where Indiana sits
The same service costs 16.6 times more in Alaska than in Washington. 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
$1,288
AK $3,388WA $204
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.