How much rates vary
Facilitymedian $407 · 10th to 90th $60 to $2,089Professionalmedian $60 · 10th to 90th $51 to $93
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 $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $61.66 Typical High $66.07 | Professional | None (both parts) | $60.26 | $61.66 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $45.71 | Professional | 26 · Professional part | $42.66 | $42.66 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $18.62 Typical High $21.38 | Professional | TC · Technical part | $17.78 | $18.62 | $21.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $60.26 Median $407.38 Typical High $549.54 | Facility | None | $60.26 | $407.38 | $549.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $48.98 Median $60.26 Typical High $69.18 | Professional | None (both parts) | $48.98 | $60.26 | $69.18 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $43.65 Typical High $57.54 | Professional | 26 · Professional part | $35.48 | $43.65 | $57.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $16.98 Typical High $22.39 | Professional | TC · Technical part | $14.45 | $16.98 | $22.39 |
CareSource Setting Facility Modifier None Typical Low $19.05 Median $45.71 Typical High $64.57 | Facility | None | $19.05 | $45.71 | $64.57 |
CareSource Setting Professional Modifier None (both parts) Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | None (both parts) | $16.98 | $16.98 | $16.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $75.86 Typical High $302.00 | Professional | None (both parts) | $61.66 | $75.86 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $53.70 Typical High $208.93 | Professional | 26 · Professional part | $42.66 | $53.70 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $22.39 Typical High $93.33 | Professional | TC · Technical part | $18.20 | $22.39 | $93.33 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $181.97 Median $912.01 Typical High $2,187.76 | Facility | None | $181.97 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $70.79 Median $89.13 Typical High $114.82 | Professional | None (both parts) | $70.79 | $89.13 | $114.82 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $61.66 Typical High $79.43 | Professional | 26 · Professional part | $50.12 | $61.66 | $79.43 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $26.92 Typical High $34.67 | Professional | TC · Technical part | $21.38 | $26.92 | $34.67 |
United Setting Professional Modifier None (both parts) Typical Low $54.95 Median $69.18 Typical High $114.82 | Professional | None (both parts) | $54.95 | $69.18 | $114.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $48.98 Typical High $83.18 | Professional | 26 · Professional part | $38.02 | $48.98 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $19.50 Typical High $31.62 | Professional | TC · Technical part | $15.85 | $19.50 | $31.62 |
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 $30.20 Median $30.90 Typical High $33.11 | Professional | 52 · Reduced service | $30.20 | $30.90 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.30 Typical High $13.18 | Professional | 53 · Discontinued | $12.02 | $12.30 | $13.18 |
Where Indiana sits
The same service costs 3.9 times more in Alaska 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· 44th of 51
$60.26
AK $170TX $43.65
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.