How much rates vary
Facilitymedian $145 · 10th to 90th $42 to $437Professionalmedian $69 · 10th to 90th $35 to $138
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 $69.18 Median $69.18 Typical High $104.71 | Facility | None | $69.18 | $69.18 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $69.18 Typical High $81.28 | Professional | None (both parts) | $60.26 | $69.18 | $81.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $16.22 Typical High $19.95 | Professional | 26 · Professional part | $14.79 | $16.22 | $19.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $52.48 Typical High $60.26 | Professional | TC · Technical part | $45.71 | $52.48 | $60.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $34.67 Median $128.82 Typical High $436.52 | Facility | None | $34.67 | $128.82 | $436.52 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $34.67 Median $34.67 Typical High $75.86 | Professional | None (both parts) | $34.67 | $34.67 | $75.86 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $9.55 Typical High $20.42 | Professional | 26 · Professional part | $9.55 | $9.55 | $20.42 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $25.12 Typical High $58.88 | Professional | TC · Technical part | $25.12 | $25.12 | $58.88 |
CareSource Setting Facility Modifier None Typical Low $19.95 Median $63.10 Typical High $83.18 | Facility | None | $19.95 | $63.10 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $41.69 Median $104.71 Typical High $181.97 | Facility | None | $41.69 | $104.71 | $181.97 |
Cigna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $74.13 Typical High $151.36 | Professional | None (both parts) | $37.15 | $74.13 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $18.62 Typical High $44.67 | Professional | 26 · Professional part | $10.96 | $18.62 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.96 Median $34.67 Typical High $107.15 | Professional | TC · Technical part | $10.96 | $34.67 | $107.15 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $144.54 Median $229.09 Typical High $2,089.30 | Facility | None | $144.54 | $229.09 | $2,089.30 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $85.11 Median $112.20 Typical High $138.04 | Professional | None (both parts) | $85.11 | $112.20 | $138.04 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $26.92 Typical High $34.67 | Professional | 26 · Professional part | $19.95 | $26.92 | $34.67 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $87.10 Typical High $104.71 | Professional | TC · Technical part | $57.54 | $87.10 | $104.71 |
United Setting Professional Modifier None (both parts) Typical Low $54.95 Median $97.72 Typical High $165.96 | Professional | None (both parts) | $54.95 | $97.72 | $165.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $22.91 Typical High $40.74 | Professional | 26 · Professional part | $13.49 | $22.91 | $40.74 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $72.44 Typical High $125.89 | Professional | TC · Technical part | $40.74 | $72.44 | $125.89 |
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 $30.20 Median $34.67 Typical High $38.90 | Professional | 52 · Reduced service | $30.20 | $34.67 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $13.80 Typical High $15.85 | Professional | 53 · Discontinued | $12.02 | $13.80 | $15.85 |
Where Indiana sits
The same service costs 4.0 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· 43rd of 51
$69.18
AK $234AL $58.88
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.