How much rates vary
Facilitymedian $115 · 10th to 90th $76 to $955Professionalmedian $81 · 10th to 90th $62 to $107
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 $75.86 Median $75.86 Typical High $114.82 | Facility | None | $75.86 | $75.86 | $114.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $75.86 Typical High $87.10 | Professional | None (both parts) | $66.07 | $75.86 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $38.90 Typical High $44.67 | Professional | 26 · Professional part | $35.48 | $38.90 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $36.31 Typical High $40.74 | Professional | TC · Technical part | $31.62 | $36.31 | $40.74 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None (both parts) | $81.28 | $81.28 | $81.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $83.18 Median $114.82 Typical High $151.36 | Facility | None | $83.18 | $114.82 | $151.36 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $61.66 Median $83.18 Typical High $97.72 | Professional | None (both parts) | $61.66 | $83.18 | $97.72 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $54.95 Typical High $61.66 | Professional | 26 · Professional part | $33.88 | $54.95 | $61.66 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $29.51 Typical High $35.48 | Professional | TC · Technical part | $23.44 | $29.51 | $35.48 |
CareSource Setting Facility Modifier None Typical Low $32.36 Median $36.31 Typical High $69.18 | Facility | None | $32.36 | $36.31 | $69.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $81.28 Typical High $109.65 | Professional | None (both parts) | $69.18 | $81.28 | $109.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $47.86 Typical High $69.18 | Professional | 26 · Professional part | $38.02 | $47.86 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $30.90 Typical High $45.71 | Professional | TC · Technical part | $25.70 | $30.90 | $45.71 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $190.55 Median $912.01 Typical High $2,187.76 | Facility | None | $190.55 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $70.79 Median $93.33 Typical High $141.25 | Professional | None (both parts) | $70.79 | $93.33 | $141.25 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $47.86 Typical High $70.79 | Professional | 26 · Professional part | $39.81 | $47.86 | $70.79 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $45.71 Typical High $67.61 | Professional | TC · Technical part | $35.48 | $45.71 | $67.61 |
United Setting Professional Modifier None (both parts) Typical Low $56.23 Median $67.61 Typical High $120.23 | Professional | None (both parts) | $56.23 | $67.61 | $120.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $41.69 Typical High $70.79 | Professional | 26 · Professional part | $31.62 | $41.69 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $26.30 Typical High $48.98 | Professional | TC · Technical part | $21.88 | $26.30 | $48.98 |
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 $33.11 Median $38.02 Typical High $40.74 | Professional | 52 · Reduced service | $33.11 | $38.02 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $15.14 Typical High $16.22 | Professional | 53 · Discontinued | $13.18 | $15.14 | $16.22 |
Where Indiana sits
The same service costs 3.3 times more in Alaska 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· 20th of 51
$83.18
AK $162UT $48.98
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.