How much rates vary
Facilitymedian $245 · 10th to 90th $49 to $646Professionalmedian $182 · 10th to 90th $110 to $389
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 $181.97 Typical High $181.97 | Facility | None | $75.86 | $181.97 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $181.97 Typical High $204.17 | Professional | None (both parts) | $169.82 | $181.97 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $97.72 Typical High $107.15 | Professional | 26 · Professional part | $89.13 | $97.72 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $85.11 Typical High $97.72 | Professional | TC · Technical part | $81.28 | $85.11 | $97.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $109.65 Median $213.80 Typical High $288.40 | Facility | None | $109.65 | $213.80 | $288.40 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $213.80 | Professional | None (both parts) | $109.65 | $109.65 | $213.80 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $114.82 | Professional | 26 · Professional part | $51.29 | $51.29 | $114.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $102.33 | Professional | TC · Technical part | $58.88 | $58.88 | $102.33 |
CareSource Setting Facility Modifier None Typical Low $112.20 Median $123.03 Typical High $234.42 | Facility | None | $112.20 | $123.03 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $186.21 Typical High $323.59 | Facility | None | $48.98 | $186.21 | $323.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $223.87 Typical High $446.68 | Professional | None (both parts) | $104.71 | $223.87 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $120.23 Typical High $269.15 | Professional | 26 · Professional part | $66.07 | $120.23 | $269.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $66.07 Typical High $190.55 | Professional | TC · Technical part | $26.30 | $66.07 | $190.55 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $457.09 Median $645.65 Typical High $2,089.30 | Facility | None | $457.09 | $645.65 | $2,089.30 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $162.18 Median $309.03 Typical High $380.19 | Professional | None (both parts) | $162.18 | $309.03 | $380.19 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $162.18 Typical High $213.80 | Professional | 26 · Professional part | $123.03 | $162.18 | $213.80 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $147.91 Typical High $181.97 | Professional | TC · Technical part | $102.33 | $147.91 | $181.97 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $239.88 Typical High $416.87 | Professional | None (both parts) | $134.90 | $239.88 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $134.90 Typical High $239.88 | Professional | 26 · Professional part | $77.62 | $134.90 | $239.88 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $107.15 Typical High $177.83 | Professional | TC · Technical part | $57.54 | $107.15 | $177.83 |
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 $85.11 Median $91.20 Typical High $102.33 | Professional | 52 · Reduced service | $85.11 | $91.20 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $36.31 Typical High $40.74 | Professional | 53 · Discontinued | $34.67 | $36.31 | $40.74 |
Where Indiana sits
The same service costs 6.5 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· 44th of 51
$182
AK $617AL $95.50
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.