How much rates vary
Facilitymedian $214 · 10th to 90th $112 to $1,820Professionalmedian $138 · 10th to 90th $102 to $182
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 $107.15 Median $117.49 Typical High $128.82 | Professional | None (both parts) | $107.15 | $117.49 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $58.88 Typical High $61.66 | Professional | 26 · Professional part | $53.70 | $58.88 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $57.54 Typical High $64.57 | Professional | TC · Technical part | $53.70 | $57.54 | $64.57 |
Anthem BCBS Setting Facility Modifier None Typical Low $151.36 Median $1,380.38 Typical High $1,819.70 | Facility | None | $151.36 | $1,380.38 | $1,819.70 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $97.72 Median $151.36 Typical High $173.78 | Professional | None (both parts) | $97.72 | $151.36 | $173.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $95.50 Typical High $107.15 | Professional | 26 · Professional part | $52.48 | $95.50 | $107.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $54.95 Typical High $66.07 | Professional | TC · Technical part | $46.77 | $54.95 | $66.07 |
CareSource Setting Facility Modifier None Typical Low $54.95 Median $56.23 Typical High $112.20 | Facility | None | $54.95 | $56.23 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $169.82 Typical High $223.87 | Facility | None | $109.65 | $169.82 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $138.04 Typical High $199.53 | Professional | None (both parts) | $112.20 | $138.04 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $72.44 Typical High $102.33 | Professional | 26 · Professional part | $58.88 | $72.44 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $58.88 Typical High $91.20 | Professional | TC · Technical part | $47.86 | $58.88 | $91.20 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $309.03 Median $912.01 Typical High $2,187.76 | Facility | None | $309.03 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $120.23 Median $151.36 Typical High $229.09 | Professional | None (both parts) | $120.23 | $151.36 | $229.09 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $75.86 Typical High $109.65 | Professional | 26 · Professional part | $61.66 | $75.86 | $109.65 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $79.43 Typical High $117.49 | Professional | TC · Technical part | $60.26 | $79.43 | $117.49 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $120.23 Typical High $204.17 | Professional | None (both parts) | $93.33 | $120.23 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $64.57 Typical High $109.65 | Professional | 26 · Professional part | $48.98 | $64.57 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $56.23 Typical High $100.00 | Professional | TC · Technical part | $43.65 | $56.23 | $100.00 |
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 $53.70 Median $58.88 Typical High $63.10 | Professional | 52 · Reduced service | $53.70 | $58.88 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $23.44 Typical High $25.70 | Professional | 53 · Discontinued | $21.38 | $23.44 | $25.70 |
Where Indiana sits
The same service costs 3.8 times more in Minnesota than in Utah. 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
$138
MN $269UT $70.79
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.