How much rates vary
Facilitymedian $59 · 10th to 90th $22 to $151Professionalmedian $43 · 10th to 90th $22 to $81
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 $42.66 Median $61.66 Typical High $70.79 | Facility | None | $42.66 | $61.66 | $70.79 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $18.62 Median $27.54 Typical High $83.18 | Facility | TC · Technical part | $18.62 | $27.54 | $83.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $42.66 Typical High $81.28 | Professional | None (both parts) | $40.74 | $42.66 | $81.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $23.99 Typical High $50.12 | Professional | 26 · Professional part | $22.91 | $23.99 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $18.62 Typical High $21.38 | Professional | TC · Technical part | $16.98 | $18.62 | $21.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $21.38 Median $21.88 Typical High $131.83 | Facility | None | $21.38 | $21.88 | $131.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $21.88 Median $21.88 Typical High $50.12 | Professional | None (both parts) | $21.88 | $21.88 | $50.12 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $13.18 Typical High $28.18 | Professional | 26 · Professional part | $13.18 | $13.18 | $28.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $8.71 Median $8.71 Typical High $22.39 | Professional | TC · Technical part | $8.71 | $8.71 | $22.39 |
CareSource Setting Facility Modifier None Typical Low $23.44 Median $30.20 Typical High $53.70 | Facility | None | $23.44 | $30.20 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $52.48 Typical High $69.18 | Facility | None | $15.85 | $52.48 | $69.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $19.50 Median $50.12 Typical High $95.50 | Professional | None (both parts) | $19.50 | $50.12 | $95.50 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $28.18 Typical High $66.07 | Professional | 26 · Professional part | $14.13 | $28.18 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $4.47 Median $12.30 Typical High $33.11 | Professional | TC · Technical part | $4.47 | $12.30 | $33.11 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $89.13 Median $151.36 Typical High $2,089.30 | Facility | None | $89.13 | $151.36 | $2,089.30 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $52.48 Median $74.13 Typical High $91.20 | Professional | None (both parts) | $52.48 | $74.13 | $91.20 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $40.74 Typical High $54.95 | Professional | 26 · Professional part | $30.90 | $40.74 | $54.95 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $10.23 Median $30.20 Typical High $39.81 | Professional | TC · Technical part | $10.23 | $30.20 | $39.81 |
United Setting Professional Modifier None (both parts) Typical Low $31.62 Median $52.48 Typical High $95.50 | Professional | None (both parts) | $31.62 | $52.48 | $95.50 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $32.36 Typical High $54.95 | Professional | 26 · Professional part | $18.62 | $32.36 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $10.47 Median $20.89 Typical High $38.02 | Professional | TC · Technical part | $10.47 | $20.89 | $38.02 |
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 $19.95 Median $21.38 Typical High $23.99 | Professional | 52 · Reduced service | $19.95 | $21.38 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $8.51 Typical High $9.55 | Professional | 53 · Discontinued | $7.94 | $8.51 | $9.55 |
Where Indiana sits
The same service costs 4.7 times more in Alaska than in Louisiana. 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· 45th of 51
$42.66
AK $141LA $30.20
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.