How much rates vary
Facilitymedian $214 · 10th to 90th $49 to $447Professionalmedian $102 · 10th to 90th $54 to $214
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 $75.86 Median $123.03 Typical High $123.03 | Facility | None | $75.86 | $123.03 | $123.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $123.03 Typical High $138.04 | Professional | None (both parts) | $109.65 | $123.03 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $30.20 Typical High $33.88 | Professional | 26 · Professional part | $27.54 | $30.20 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $91.20 Typical High $104.71 | Professional | TC · Technical part | $79.43 | $91.20 | $104.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $53.70 Median $158.49 Typical High $245.47 | Facility | None | $53.70 | $158.49 | $245.47 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $53.70 Median $53.70 Typical High $138.04 | Professional | None (both parts) | $53.70 | $53.70 | $138.04 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $16.22 Typical High $33.88 | Professional | 26 · Professional part | $16.22 | $16.22 | $33.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $37.15 Typical High $104.71 | Professional | TC · Technical part | $16.60 | $37.15 | $104.71 |
CareSource Setting Facility Modifier None Typical Low $38.02 Median $117.49 Typical High $154.88 | Facility | None | $38.02 | $117.49 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $104.71 Typical High $338.84 | Facility | None | $48.98 | $104.71 | $338.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $102.33 Typical High $213.80 | Professional | None (both parts) | $46.77 | $102.33 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $34.67 Typical High $83.18 | Professional | 26 · Professional part | $16.98 | $34.67 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $57.54 Typical High $158.49 | Professional | TC · Technical part | $20.89 | $57.54 | $158.49 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $223.87 Median $416.87 Typical High $2,089.30 | Facility | None | $223.87 | $416.87 | $2,089.30 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $109.65 Median $204.17 Typical High $251.19 | Professional | None (both parts) | $109.65 | $204.17 | $251.19 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $50.12 Typical High $63.10 | Professional | 26 · Professional part | $38.02 | $50.12 | $63.10 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $154.88 Typical High $190.55 | Professional | TC · Technical part | $63.10 | $154.88 | $190.55 |
United Setting Professional Modifier None (both parts) Typical Low $77.62 Median $131.83 Typical High $234.42 | Professional | None (both parts) | $77.62 | $131.83 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $40.74 Typical High $69.18 | Professional | 26 · Professional part | $23.44 | $40.74 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $91.20 Typical High $165.96 | Professional | TC · Technical part | $53.70 | $91.20 | $165.96 |
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 $56.23 Median $61.66 Typical High $69.18 | Professional | 52 · Reduced service | $56.23 | $61.66 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $24.55 Typical High $27.54 | Professional | 53 · Discontinued | $22.39 | $24.55 | $27.54 |
Where Indiana sits
The same service costs 5.8 times more in Alaska than in Alabama. 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· 35th of 51
$123
AK $331AL $57.54
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.