How much rates vary
Facilitymedian $66 · 10th to 90th $16 to $955Professionalmedian $19 · 10th to 90th $13 to $38
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 $15.85 Median $15.85 Typical High $24.55 | Facility | None | $15.85 | $15.85 | $24.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $15.85 Median $15.85 Typical High $17.38 | Professional | None (both parts) | $15.85 | $15.85 | $17.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $12.59 Typical High $13.49 | Professional | 26 · Professional part | $12.59 | $12.59 | $13.49 |
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 $38.02 Median $660.69 Typical High $891.25 | Facility | None | $38.02 | $660.69 | $891.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $18.20 Median $38.02 Typical High $38.02 | Professional | None (both parts) | $18.20 | $38.02 | $38.02 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $14.45 Typical High $14.45 | Professional | 26 · Professional part | $12.59 | $14.45 | $14.45 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $6.92 Median $8.51 Typical High $9.12 | Professional | TC · Technical part | $6.92 | $8.51 | $9.12 |
CareSource Setting Facility Modifier None Typical Low $3.47 Median $13.80 Typical High $16.98 | Facility | None | $3.47 | $13.80 | $16.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $11.22 Median $11.22 Typical High $50.12 | Professional | None (both parts) | $11.22 | $11.22 | $50.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $10.23 Typical High $16.60 | Professional | 26 · Professional part | $10.23 | $10.23 | $16.60 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $0.98 Median $0.98 Typical High $29.51 | Professional | TC · Technical part | $0.98 | $0.98 | $29.51 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $46.77 Median $912.01 Typical High $2,187.76 | Facility | None | $46.77 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $16.22 Median $22.39 Typical High $34.67 | Professional | None (both parts) | $16.22 | $22.39 | $34.67 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $17.38 Typical High $25.70 | Professional | 26 · Professional part | $12.59 | $17.38 | $25.70 |
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 $13.49 Median $15.14 Typical High $43.65 | Professional | None (both parts) | $13.49 | $15.14 | $43.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $11.75 Typical High $17.78 | Professional | 26 · Professional part | $10.96 | $11.75 | $17.78 |
United Setting Professional Modifier TC · Technical part Typical Low $2.34 Median $2.95 Typical High $30.20 | Professional | TC · Technical part | $2.34 | $2.95 | $30.20 |
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 $7.94 Median $7.94 Typical High $8.71 | Professional | 52 · Reduced service | $7.94 | $7.94 | $8.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.16 Typical High $3.55 | Professional | 53 · Discontinued | $3.16 | $3.16 | $3.55 |
Where Indiana sits
The same service costs 2.6 times more in California 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· 24th of 51
$19.05
CA $38.02NY $14.45
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.