How much rates vary
Facilitymedian $339 · 10th to 90th $234 to $912Professionalmedian $269 · 10th to 90th $219 to $380
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 $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $239.88 Typical High $302.00 | Professional | None (both parts) | $229.09 | $239.88 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $95.50 Typical High $112.20 | Professional | 26 · Professional part | $87.10 | $95.50 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $144.54 Typical High $173.78 | Professional | TC · Technical part | $138.04 | $144.54 | $173.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 26 · Professional part | $125.89 | $125.89 | $125.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $512.86 | Facility | None | $269.15 | $269.15 | $512.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $213.80 Median $269.15 Typical High $354.81 | Professional | None (both parts) | $213.80 | $269.15 | $354.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $85.11 Typical High $112.20 | Professional | 26 · Professional part | $69.18 | $85.11 | $112.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $181.97 Typical High $239.88 | Professional | TC · Technical part | $131.83 | $181.97 | $239.88 |
CareSource Setting Facility Modifier None Typical Low $91.20 Median $125.89 Typical High $218.78 | Facility | None | $91.20 | $125.89 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $338.84 Typical High $537.03 | Facility | None | $234.42 | $338.84 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $288.40 Typical High $398.11 | Professional | None (both parts) | $223.87 | $288.40 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $87.10 Typical High $144.54 | Professional | 26 · Professional part | $77.62 | $87.10 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $186.21 Typical High $269.15 | Professional | TC · Technical part | $151.36 | $186.21 | $269.15 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $602.56 Median $912.01 Typical High $2,187.76 | Facility | None | $602.56 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $239.88 Median $302.00 Typical High $446.68 | Professional | None (both parts) | $239.88 | $302.00 | $446.68 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $117.49 Typical High $177.83 | Professional | 26 · Professional part | $89.13 | $117.49 | $177.83 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $186.21 Typical High $275.42 | Professional | TC · Technical part | $147.91 | $186.21 | $275.42 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $281.84 Typical High $467.74 | Professional | None (both parts) | $213.80 | $281.84 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $89.13 Typical High $165.96 | Professional | 26 · Professional part | $67.61 | $89.13 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $194.98 Typical High $295.12 | Professional | TC · Technical part | $131.83 | $194.98 | $295.12 |
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 $114.82 Median $120.23 Typical High $138.04 | Professional | 52 · Reduced service | $114.82 | $120.23 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $47.86 Typical High $54.95 | Professional | 53 · Discontinued | $45.71 | $47.86 | $54.95 |
Where Indiana sits
The same service costs 4.7 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· 39th of 51
$269
AK $589UT $126
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.