How much rates vary
Facilitymedian $129 · 10th to 90th $81 to $955Professionalmedian $91 · 10th to 90th $66 to $112
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 $81.28 Median $112.20 Typical High $141.25 | Facility | None | $81.28 | $112.20 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $85.11 Typical High $104.71 | Professional | None (both parts) | $74.13 | $85.11 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $40.74 Typical High $50.12 | Professional | 26 · Professional part | $37.15 | $40.74 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $44.67 Typical High $53.70 | Professional | TC · Technical part | $38.02 | $44.67 | $53.70 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $69.18 Median $91.20 Typical High $95.50 | Professional | None (both parts) | $69.18 | $91.20 | $95.50 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $43.65 | $43.65 | $43.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $93.33 Median $114.82 Typical High $162.18 | Facility | None | $93.33 | $114.82 | $162.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $66.07 Median $93.33 Typical High $107.15 | Professional | None (both parts) | $66.07 | $93.33 | $107.15 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $61.66 Typical High $70.79 | Professional | 26 · Professional part | $35.48 | $61.66 | $70.79 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $30.90 Typical High $38.90 | Professional | TC · Technical part | $23.44 | $30.90 | $38.90 |
CareSource Setting Facility Modifier None Typical Low $37.15 Median $38.90 Typical High $75.86 | Facility | None | $37.15 | $38.90 | $75.86 |
CareSource Setting Professional Modifier None (both parts) Typical Low $36.31 Median $47.86 Typical High $91.20 | Professional | None (both parts) | $36.31 | $47.86 | $91.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $85.11 Typical High $125.89 | Professional | None (both parts) | $72.44 | $85.11 | $125.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $52.48 Typical High $66.07 | Professional | 26 · Professional part | $38.90 | $52.48 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $31.62 Typical High $54.95 | Professional | TC · Technical part | $25.70 | $31.62 | $54.95 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $213.80 Median $912.01 Typical High $2,187.76 | Facility | None | $213.80 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $83.18 Median $107.15 Typical High $158.49 | Professional | None (both parts) | $83.18 | $107.15 | $158.49 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $50.12 Typical High $74.13 | Professional | 26 · Professional part | $39.81 | $50.12 | $74.13 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $56.23 Typical High $81.28 | Professional | TC · Technical part | $42.66 | $56.23 | $81.28 |
United Setting Professional Modifier None (both parts) Typical Low $57.54 Median $72.44 Typical High $117.49 | Professional | None (both parts) | $57.54 | $72.44 | $117.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $42.66 Typical High $67.61 | Professional | 26 · Professional part | $33.11 | $42.66 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $30.20 Typical High $52.48 | Professional | TC · Technical part | $19.95 | $30.20 | $52.48 |
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 $37.15 Median $42.66 Typical High $45.71 | Professional | 52 · Reduced service | $37.15 | $42.66 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $16.98 Typical High $18.20 | Professional | 53 · Discontinued | $14.79 | $16.98 | $18.20 |
Where Indiana sits
The same service costs 3.4 times more in Alaska than in New York. 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· 19th of 51
$91.20
AK $182NY $53.70
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.