How much rates vary
Facilitymedian $186 · 10th to 90th $62 to $468Professionalmedian $72 · 10th to 90th $35 to $174
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 $93.33 Median $104.71 Typical High $147.91 | Facility | None | $93.33 | $104.71 | $147.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $93.33 Typical High $223.87 | Professional | None (both parts) | $89.13 | $93.33 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.70 Typical High $56.23 | Professional | 26 · Professional part | $25.12 | $25.70 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $67.61 Typical High $77.62 | Professional | TC · Technical part | $63.10 | $67.61 | $77.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $34.67 Median $66.07 Typical High $467.74 | Facility | None | $34.67 | $66.07 | $467.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $34.67 Median $34.67 Typical High $120.23 | Professional | None (both parts) | $34.67 | $34.67 | $120.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.30 Typical High $30.90 | Professional | 26 · Professional part | $12.30 | $12.30 | $30.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $22.39 Typical High $89.13 | Professional | TC · Technical part | $22.39 | $22.39 | $89.13 |
CareSource Setting Facility Modifier None Typical Low $33.88 Median $91.20 Typical High $125.89 | Facility | None | $33.88 | $91.20 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $107.15 Typical High $269.15 | Facility | None | $61.66 | $107.15 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $70.79 Typical High $186.21 | Professional | None (both parts) | $34.67 | $70.79 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $23.44 Typical High $64.57 | Professional | 26 · Professional part | $12.30 | $23.44 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $47.86 Typical High $128.82 | Professional | TC · Technical part | $22.39 | $47.86 | $128.82 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $186.21 Median $354.81 Typical High $2,089.30 | Facility | None | $186.21 | $354.81 | $2,089.30 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $131.83 Median $165.96 Typical High $218.78 | Professional | None (both parts) | $131.83 | $165.96 | $218.78 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $43.65 Typical High $58.88 | Professional | 26 · Professional part | $33.88 | $43.65 | $58.88 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $123.03 Typical High $162.18 | Professional | TC · Technical part | $89.13 | $123.03 | $162.18 |
United Setting Professional Modifier None (both parts) Typical Low $64.57 Median $107.15 Typical High $199.53 | Professional | None (both parts) | $64.57 | $107.15 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $33.88 Typical High $57.54 | Professional | 26 · Professional part | $19.95 | $33.88 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $75.86 Typical High $138.04 | Professional | TC · Technical part | $43.65 | $75.86 | $138.04 |
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 $45.71 Median $46.77 Typical High $54.95 | Professional | 52 · Reduced service | $45.71 | $46.77 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $21.88 | Professional | 53 · Discontinued | $18.62 | $18.62 | $21.88 |
Where Indiana sits
The same service costs 4.6 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
$93.33
AK $269AL $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.