How much rates vary
Facilitymedian $347 · 10th to 90th $126 to $912Professionalmedian $145 · 10th to 90th $102 to $191
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 $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $117.49 Typical High $169.82 | Professional | None (both parts) | $112.20 | $117.49 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $50.12 | Professional | 26 · Professional part | $35.48 | $35.48 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $83.18 Typical High $109.65 | Professional | TC · Technical part | $74.13 | $83.18 | $109.65 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $154.88 | Professional | None (both parts) | $141.25 | $141.25 | $154.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $125.89 Median $346.74 Typical High $891.25 | Facility | None | $125.89 | $346.74 | $891.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $109.65 Median $154.88 Typical High $181.97 | Professional | None (both parts) | $109.65 | $154.88 | $181.97 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $43.65 Typical High $61.66 | Professional | 26 · Professional part | $36.31 | $43.65 | $61.66 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $81.28 Typical High $123.03 | Professional | TC · Technical part | $67.61 | $81.28 | $123.03 |
CareSource Setting Facility Modifier None Typical Low $42.66 Median $109.65 Typical High $151.36 | Facility | None | $42.66 | $109.65 | $151.36 |
CareSource Setting Professional Modifier None (both parts) Typical Low $38.90 Median $104.71 Typical High $177.83 | Professional | None (both parts) | $38.90 | $104.71 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $144.54 Typical High $234.42 | Professional | None (both parts) | $107.15 | $144.54 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $46.77 Typical High $70.79 | Professional | 26 · Professional part | $38.90 | $46.77 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $95.50 Typical High $154.88 | Professional | TC · Technical part | $64.57 | $95.50 | $154.88 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $426.58 Median $912.01 Typical High $2,187.76 | Facility | None | $426.58 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $138.04 Median $177.83 Typical High $281.84 | Professional | None (both parts) | $138.04 | $177.83 | $281.84 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $50.12 Typical High $75.86 | Professional | 26 · Professional part | $39.81 | $50.12 | $75.86 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $131.83 Typical High $208.93 | Professional | TC · Technical part | $97.72 | $131.83 | $208.93 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $125.89 Typical High $181.97 | Professional | None (both parts) | $91.20 | $125.89 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $45.71 Typical High $70.79 | Professional | 26 · Professional part | $37.15 | $45.71 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $75.86 Typical High $120.23 | Professional | TC · Technical part | $53.70 | $75.86 | $120.23 |
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 $56.23 Median $57.54 Typical High $67.61 | Professional | 52 · Reduced service | $56.23 | $57.54 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.91 Typical High $26.92 | Professional | 53 · Discontinued | $22.39 | $22.91 | $26.92 |
Where Indiana sits
The same service costs 3.2 times more in Alaska than in New York. 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· 32nd of 51
$145
AK $347NY $107
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.