How much rates vary
Facilitymedian $71 · 10th to 90th $17 to $955Professionalmedian $20 · 10th to 90th $14 to $41
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 $16.60 Median $16.60 Typical High $26.30 | Facility | None | $16.60 | $16.60 | $26.30 |
Aetna Setting Professional Modifier None (both parts) Typical Low $16.60 Median $16.60 Typical High $18.62 | Professional | None (both parts) | $16.60 | $16.60 | $18.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $13.49 Typical High $14.45 | Professional | 26 · Professional part | $13.49 | $13.49 | $14.45 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.24 Median $3.24 Typical High $4.07 | Professional | TC · Technical part | $3.24 | $3.24 | $4.07 |
Anthem BCBS Setting Facility Modifier None Typical Low $40.74 Median $398.11 Typical High $524.81 | Facility | None | $40.74 | $398.11 | $524.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $22.39 Median $40.74 Typical High $40.74 | Professional | None (both parts) | $22.39 | $40.74 | $40.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $16.98 Typical High $16.98 | Professional | 26 · Professional part | $13.80 | $16.98 | $16.98 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $7.24 Median $8.51 Typical High $9.77 | Professional | TC · Technical part | $7.24 | $8.51 | $9.77 |
CareSource Setting Facility Modifier None Typical Low $3.47 Median $14.79 Typical High $18.20 | Facility | None | $3.47 | $14.79 | $18.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $12.02 Median $12.02 Typical High $53.70 | Professional | None (both parts) | $12.02 | $12.02 | $53.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $10.96 Typical High $18.20 | Professional | 26 · Professional part | $10.96 | $10.96 | $18.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $3.24 Median $7.94 Typical High $37.15 | Professional | TC · Technical part | $3.24 | $7.94 | $37.15 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $48.98 Median $912.01 Typical High $2,187.76 | Facility | None | $48.98 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $16.98 Median $23.99 Typical High $37.15 | Professional | None (both parts) | $16.98 | $23.99 | $37.15 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $18.62 Typical High $27.54 | Professional | 26 · Professional part | $13.49 | $18.62 | $27.54 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $3.31 Median $4.57 Typical High $7.24 | Professional | TC · Technical part | $3.31 | $4.57 | $7.24 |
United Setting Professional Modifier None (both parts) Typical Low $14.45 Median $16.22 Typical High $46.77 | Professional | None (both parts) | $14.45 | $16.22 | $46.77 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $12.88 Typical High $19.50 | Professional | 26 · Professional part | $11.75 | $12.88 | $19.50 |
United Setting Professional Modifier TC · Technical part Typical Low $2.34 Median $2.95 Typical High $32.36 | Professional | TC · Technical part | $2.34 | $2.95 | $32.36 |
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 $8.32 Median $8.32 Typical High $9.33 | Professional | 52 · Reduced service | $8.32 | $8.32 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $3.31 Typical High $3.72 | Professional | 53 · Discontinued | $3.31 | $3.31 | $3.72 |
Where Indiana sits
The same service costs 2.5 times more in California than in Texas. 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· 26th of 51
$20.42
CA $40.74TX $16.22
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.