How much rates vary
Facilitymedian $89 · 10th to 90th $17 to $2,089Professionalmedian $22 · 10th to 90th $15 to $29
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 $16.60 | Facility | None | $16.60 | $16.60 | $16.60 |
Aetna Setting Professional Modifier None (both parts) Typical Low $15.49 Median $16.60 Typical High $18.62 | Professional | None (both parts) | $15.49 | $16.60 | $18.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.71 Typical High $9.33 | Professional | 26 · Professional part | $7.94 | $8.71 | $9.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $7.59 Median $7.94 Typical High $9.12 | Professional | TC · Technical part | $7.59 | $7.94 | $9.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.70 Median $89.13 Typical High $117.49 | Facility | None | $25.70 | $89.13 | $117.49 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $13.49 Median $25.70 Typical High $28.84 | Professional | None (both parts) | $13.49 | $25.70 | $28.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $13.18 Typical High $15.85 | Professional | 26 · Professional part | $7.94 | $13.18 | $15.85 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $7.94 Median $12.59 Typical High $19.50 | Professional | TC · Technical part | $7.94 | $12.59 | $19.50 |
CareSource Setting Facility Modifier None Typical Low $7.76 Median $8.32 Typical High $16.22 | Facility | None | $7.76 | $8.32 | $16.22 |
Cigna Setting Professional Modifier None (both parts) Typical Low $16.22 Median $21.88 Typical High $29.51 | Professional | None (both parts) | $16.22 | $21.88 | $29.51 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $10.96 Typical High $14.79 | Professional | 26 · Professional part | $8.51 | $10.96 | $14.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $7.76 Median $11.22 Typical High $14.45 | Professional | TC · Technical part | $7.76 | $11.22 | $14.45 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $47.86 Median $912.01 Typical High $2,187.76 | Facility | None | $47.86 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $12.02 Median $19.50 Typical High $32.36 | Professional | None (both parts) | $12.02 | $19.50 | $32.36 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $10.00 Typical High $16.22 | Professional | 26 · Professional part | $6.46 | $10.00 | $16.22 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $6.17 Median $10.72 Typical High $16.22 | Professional | TC · Technical part | $6.17 | $10.72 | $16.22 |
United Setting Professional Modifier None (both parts) Typical Low $14.13 Median $18.20 Typical High $30.90 | Professional | None (both parts) | $14.13 | $18.20 | $30.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $9.33 Typical High $16.22 | Professional | 26 · Professional part | $7.24 | $9.33 | $16.22 |
United Setting Professional Modifier TC · Technical part Typical Low $6.76 Median $9.12 Typical High $14.79 | Professional | TC · Technical part | $6.76 | $9.12 | $14.79 |
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 $7.76 Median $8.32 Typical High $9.33 | Professional | 52 · Reduced service | $7.76 | $8.32 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $3.31 Typical High $3.72 | Professional | 53 · Discontinued | $3.09 | $3.31 | $3.72 |
Where Indiana sits
The same service costs 2.7 times more in Minnesota than in Florida. 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· 17th of 51
$21.88
MN $38.02FL $14.13
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.