How much rates vary
Facilitymedian $302 · 10th to 90th $89 to $2,188Professionalmedian $269 · 10th to 90th $182 to $407
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 $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $181.97 Typical High $208.93 | Professional | None (both parts) | $169.82 | $181.97 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $95.50 Typical High $109.65 | Professional | 26 · Professional part | $89.13 | $95.50 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $87.10 Typical High $104.71 | Professional | TC · Technical part | $83.18 | $87.10 | $104.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $575.44 | Facility | None | $302.00 | $302.00 | $575.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $239.88 Median $302.00 Typical High $398.11 | Professional | None (both parts) | $239.88 | $302.00 | $398.11 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $117.49 Typical High $154.88 | Professional | 26 · Professional part | $83.18 | $117.49 | $154.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $181.97 Typical High $239.88 | Professional | TC · Technical part | $147.91 | $181.97 | $239.88 |
CareSource Setting Facility Modifier None Typical Low $81.28 Median $89.13 Typical High $169.82 | Facility | None | $81.28 | $89.13 | $169.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $251.19 Typical High $363.08 | Professional | None (both parts) | $186.21 | $251.19 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $117.49 Typical High $158.49 | Professional | 26 · Professional part | $95.50 | $117.49 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $120.23 Typical High $204.17 | Professional | TC · Technical part | $89.13 | $120.23 | $204.17 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $741.31 Median $954.99 Typical High $2,290.87 | Facility | None | $741.31 | $954.99 | $2,290.87 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $275.42 Median $346.74 Typical High $407.38 | Professional | None (both parts) | $275.42 | $346.74 | $407.38 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $123.03 Typical High $181.97 | Professional | 26 · Professional part | $97.72 | $123.03 | $181.97 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $208.93 Typical High $269.15 | Professional | TC · Technical part | $173.78 | $208.93 | $269.15 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $295.12 Typical High $501.19 | Professional | None (both parts) | $234.42 | $295.12 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $107.15 Typical High $186.21 | Professional | 26 · Professional part | $83.18 | $107.15 | $186.21 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $186.21 Typical High $309.03 | Professional | TC · Technical part | $147.91 | $186.21 | $309.03 |
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 $85.11 Median $91.20 Typical High $104.71 | Professional | 52 · Reduced service | $85.11 | $91.20 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $36.31 Typical High $41.69 | Professional | 53 · Discontinued | $33.88 | $36.31 | $41.69 |
Where Indiana sits
The same service costs 3.1 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· 26th of 51
$269
AK $537NY $174
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.