How much rates vary
Facilitymedian $186 · 10th to 90th $46 to $912Professionalmedian $66 · 10th to 90th $27 to $166
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 $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $117.49 Typical High $151.36 | Professional | None (both parts) | $112.20 | $117.49 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $30.20 Typical High $39.81 | Professional | 26 · Professional part | $22.39 | $30.20 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $87.10 Typical High $107.15 | Professional | TC · Technical part | $85.11 | $87.10 | $107.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $123.03 | $123.03 | $123.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.92 Median $407.38 Typical High $549.54 | Facility | None | $26.92 | $407.38 | $549.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $26.92 Median $54.95 Typical High $117.49 | Professional | None (both parts) | $26.92 | $54.95 | $117.49 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $36.31 Typical High $47.86 | Professional | 26 · Professional part | $21.38 | $36.31 | $47.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $66.07 Typical High $104.71 | Professional | TC · Technical part | $56.23 | $66.07 | $104.71 |
CareSource Setting Facility Modifier None Typical Low $23.44 Median $102.33 Typical High $125.89 | Facility | None | $23.44 | $102.33 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $154.88 Typical High $275.42 | Facility | None | $45.71 | $154.88 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $131.83 Typical High $213.80 | Professional | None (both parts) | $41.69 | $131.83 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $28.84 Typical High $52.48 | Professional | 26 · Professional part | $12.02 | $28.84 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $97.72 Typical High $165.96 | Professional | TC · Technical part | $30.90 | $97.72 | $165.96 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $354.81 Median $912.01 Typical High $2,187.76 | Facility | None | $354.81 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $120.23 Median $154.88 Typical High $234.42 | Professional | None (both parts) | $120.23 | $154.88 | $234.42 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $28.18 Typical High $41.69 | Professional | 26 · Professional part | $22.91 | $28.18 | $41.69 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $125.89 Typical High $194.98 | Professional | TC · Technical part | $102.33 | $125.89 | $194.98 |
United Setting Professional Modifier None (both parts) Typical Low $53.70 Median $141.25 Typical High $213.80 | Professional | None (both parts) | $53.70 | $141.25 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $50.12 Typical High $77.62 | Professional | 26 · Professional part | $36.31 | $50.12 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $102.33 Typical High $162.18 | Professional | TC · Technical part | $61.66 | $102.33 | $162.18 |
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 $57.54 Median $58.88 Typical High $72.44 | Professional | 52 · Reduced service | $57.54 | $58.88 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $23.44 Typical High $28.84 | Professional | 53 · Discontinued | $22.91 | $23.44 | $28.84 |
Where Indiana sits
The same service costs 5.2 times more in Alaska than in Indiana. 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· 51st of 51
$69.18
AK $363IN $69.18
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.