How much rates vary
Facilitymedian $204 · 10th to 90th $72 to $427Professionalmedian $98 · 10th to 90th $72 to $200
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 $95.50 Median $95.50 Typical High $117.49 | Facility | None | $95.50 | $95.50 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $95.50 Typical High $109.65 | Professional | None (both parts) | $91.20 | $95.50 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $41.69 Typical High $46.77 | Professional | 26 · Professional part | $38.90 | $41.69 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $53.70 Typical High $61.66 | Professional | TC · Technical part | $51.29 | $53.70 | $61.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $72.44 Median $194.98 Typical High $426.58 | Facility | None | $72.44 | $194.98 | $426.58 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $117.49 | Professional | None (both parts) | $72.44 | $72.44 | $117.49 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $29.51 Typical High $63.10 | Professional | 26 · Professional part | $29.51 | $29.51 | $63.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $43.65 Typical High $69.18 | Professional | TC · Technical part | $43.65 | $43.65 | $69.18 |
CareSource Setting Facility Modifier None Typical Low $53.70 Median $70.79 Typical High $123.03 | Facility | None | $53.70 | $70.79 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $128.82 Typical High $223.87 | Facility | None | $53.70 | $128.82 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $117.49 Typical High $208.93 | Professional | None (both parts) | $64.57 | $117.49 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $51.29 Typical High $114.82 | Professional | 26 · Professional part | $27.54 | $51.29 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $67.61 Typical High $120.23 | Professional | TC · Technical part | $36.31 | $67.61 | $120.23 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $281.84 Median $338.84 Typical High $2,089.30 | Facility | None | $281.84 | $338.84 | $2,089.30 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $125.89 Median $162.18 Typical High $199.53 | Professional | None (both parts) | $125.89 | $162.18 | $199.53 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $69.18 Typical High $91.20 | Professional | 26 · Professional part | $53.70 | $69.18 | $91.20 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $93.33 Typical High $114.82 | Professional | TC · Technical part | $64.57 | $93.33 | $114.82 |
United Setting Professional Modifier None (both parts) Typical Low $77.62 Median $138.04 Typical High $234.42 | Professional | None (both parts) | $77.62 | $138.04 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $57.54 Typical High $102.33 | Professional | 26 · Professional part | $33.88 | $57.54 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $79.43 Typical High $131.83 | Professional | TC · Technical part | $43.65 | $79.43 | $131.83 |
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 $45.71 Median $47.86 Typical High $54.95 | Professional | 52 · Reduced service | $45.71 | $47.86 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $19.05 Typical High $21.88 | Professional | 53 · Discontinued | $18.20 | $19.05 | $21.88 |
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· 43rd of 51
$107
AK $339AL $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.