How much rates vary
Facilitymedian $148 · 10th to 90th $30 to $2,089Professionalmedian $66 · 10th to 90th $30 to $79
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 $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $35.48 | Professional | None (both parts) | $30.20 | $30.20 | $35.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $13.18 Typical High $14.13 | Professional | 26 · Professional part | $12.30 | $13.18 | $14.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $17.38 Typical High $19.50 | Professional | TC · Technical part | $17.38 | $17.38 | $19.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $77.62 Median $181.97 Typical High $239.88 | Facility | None | $77.62 | $181.97 | $239.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $30.90 Median $77.62 Typical High $85.11 | Professional | None (both parts) | $30.90 | $77.62 | $85.11 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $20.42 Typical High $23.44 | Professional | 26 · Professional part | $12.02 | $20.42 | $23.44 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $56.23 Typical High $61.66 | Professional | TC · Technical part | $19.05 | $56.23 | $61.66 |
CareSource Setting Facility Modifier None Typical Low $12.59 Median $18.20 Typical High $30.90 | Facility | None | $12.59 | $18.20 | $30.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $52.48 Typical High $93.33 | Professional | None (both parts) | $30.90 | $52.48 | $93.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $16.60 Typical High $23.44 | Professional | 26 · Professional part | $13.18 | $16.60 | $23.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $28.18 Typical High $63.10 | Professional | TC · Technical part | $17.38 | $28.18 | $63.10 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $85.11 Median $912.01 Typical High $2,187.76 | Facility | None | $85.11 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $33.11 Median $43.65 Typical High $64.57 | Professional | None (both parts) | $33.11 | $43.65 | $64.57 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $16.98 Typical High $25.12 | Professional | 26 · Professional part | $13.80 | $16.98 | $25.12 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $26.30 Typical High $39.81 | Professional | TC · Technical part | $20.42 | $26.30 | $39.81 |
United Setting Professional Modifier None (both parts) Typical Low $26.30 Median $38.02 Typical High $64.57 | Professional | None (both parts) | $26.30 | $38.02 | $64.57 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $13.80 Typical High $24.55 | Professional | 26 · Professional part | $10.72 | $13.80 | $24.55 |
United Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $22.91 Typical High $47.86 | Professional | TC · Technical part | $15.14 | $22.91 | $47.86 |
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 $15.14 Median $15.14 Typical High $17.38 | Professional | 52 · Reduced service | $15.14 | $15.14 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.17 Typical High $7.08 | Professional | 53 · Discontinued | $6.03 | $6.17 | $7.08 |
Where Indiana sits
The same service costs 2.6 times more in Minnesota than in Alabama. 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· 2nd of 51
$66.07
MN $74.13AL $28.18
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.