How much rates vary
Facilitymedian $100 · 10th to 90th $23 to $2,089Professionalmedian $37 · 10th to 90th $11 to $60
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 $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $37.15 Typical High $44.67 | Professional | None (both parts) | $30.20 | $37.15 | $44.67 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $11.75 Typical High $15.85 | Professional | 26 · Professional part | $8.51 | $11.75 | $15.85 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $43.65 Typical High $60.26 | Professional | TC · Technical part | $31.62 | $43.65 | $60.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $22.91 Median $1,380.38 Typical High $1,819.70 | Facility | None | $22.91 | $1,380.38 | $1,819.70 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $10.72 Median $22.91 Typical High $22.91 | Professional | None (both parts) | $10.72 | $22.91 | $22.91 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $10.72 Typical High $13.18 | Professional | 26 · Professional part | $10.72 | $10.72 | $13.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $12.02 Median $12.02 Typical High $19.50 | Professional | TC · Technical part | $12.02 | $12.02 | $19.50 |
CareSource Setting Facility Modifier None Typical Low $7.94 Median $28.84 Typical High $30.90 | Facility | None | $7.94 | $28.84 | $30.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $46.77 Typical High $102.33 | Professional | None (both parts) | $46.77 | $46.77 | $102.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.00 Typical High $17.38 | Professional | 26 · Professional part | $10.00 | $10.00 | $17.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $37.15 Typical High $89.13 | Professional | TC · Technical part | $25.70 | $37.15 | $89.13 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $81.28 Median $912.01 Typical High $2,187.76 | Facility | None | $81.28 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $26.30 Median $38.02 Typical High $60.26 | Professional | None (both parts) | $26.30 | $38.02 | $60.26 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $16.22 Typical High $22.39 | Professional | 26 · Professional part | $6.03 | $16.22 | $22.39 |
United Setting Professional Modifier None (both parts) Typical Low $46.77 Median $54.95 Typical High $75.86 | Professional | None (both parts) | $46.77 | $54.95 | $75.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $11.75 Typical High $17.38 | Professional | 26 · Professional part | $10.47 | $11.75 | $17.38 |
United Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $43.65 Typical High $69.18 | Professional | TC · Technical part | $36.31 | $43.65 | $69.18 |
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 $14.79 Median $18.62 Typical High $22.39 | Professional | 52 · Reduced service | $14.79 | $18.62 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $7.41 Typical High $8.91 | Professional | 53 · Discontinued | $6.03 | $7.41 | $8.91 |
Where Indiana sits
The same service costs 3.3 times more in Alaska than in Ohio. 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· 48th of 51
$37.15
AK $110OH $33.11
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.