How much rates vary
Facilitymedian $676 · 10th to 90th $269 to $1,259Professionalmedian $427 · 10th to 90th $269 to $537
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 $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $269.15 Typical High $288.40 | Professional | None (both parts) | $263.03 | $269.15 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $223.87 Typical High $239.88 | Professional | 26 · Professional part | $223.87 | $223.87 | $239.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $42.66 Typical High $47.86 | Professional | TC · Technical part | $40.74 | $42.66 | $47.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $426.58 Median $933.25 Typical High $1,258.93 | Facility | None | $426.58 | $933.25 | $1,258.93 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $269.15 Median $426.58 Typical High $512.86 | Professional | None (both parts) | $269.15 | $426.58 | $512.86 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $338.84 Typical High $389.05 | Professional | 26 · Professional part | $223.87 | $338.84 | $389.05 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $89.13 Typical High $117.49 | Professional | TC · Technical part | $42.66 | $89.13 | $117.49 |
CareSource Setting Facility Modifier None Typical Low $43.65 Median $239.88 Typical High $281.84 | Facility | None | $43.65 | $239.88 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $467.74 Typical High $676.08 | Facility | None | $288.40 | $467.74 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $436.52 Typical High $645.65 | Professional | None (both parts) | $302.00 | $436.52 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $316.23 Typical High $426.58 | Professional | 26 · Professional part | $251.19 | $316.23 | $426.58 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $64.57 Typical High $208.93 | Professional | TC · Technical part | $42.66 | $64.57 | $208.93 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $758.58 Median $912.01 Typical High $2,187.76 | Facility | None | $758.58 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $295.12 Median $389.05 Typical High $562.34 | Professional | None (both parts) | $295.12 | $389.05 | $562.34 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $316.23 Typical High $467.74 | Professional | 26 · Professional part | $257.04 | $316.23 | $467.74 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $61.66 Typical High $93.33 | Professional | TC · Technical part | $50.12 | $61.66 | $93.33 |
United Setting Professional Modifier None (both parts) Typical Low $239.88 Median $323.59 Typical High $501.19 | Professional | None (both parts) | $239.88 | $323.59 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $269.15 Typical High $416.87 | Professional | 26 · Professional part | $208.93 | $269.15 | $416.87 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $45.71 Typical High $138.04 | Professional | TC · Technical part | $30.20 | $45.71 | $138.04 |
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 $131.83 Median $134.90 Typical High $144.54 | Professional | 52 · Reduced service | $131.83 | $134.90 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $53.70 Typical High $57.54 | Professional | 53 · Discontinued | $52.48 | $53.70 | $57.54 |
Where Indiana sits
The same service costs 3.3 times more in Minnesota 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· 13th of 51
$427
MN $661UT $200
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.