How much rates vary
Facilitymedian $550 · 10th to 90th $251 to $955Professionalmedian $269 · 10th to 90th $214 to $417
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 $251.19 Median $309.03 Typical High $316.23 | Facility | None | $251.19 | $309.03 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $251.19 Typical High $295.12 | Professional | None (both parts) | $229.09 | $251.19 | $295.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $53.70 | Professional | 26 · Professional part | $42.66 | $42.66 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $204.17 Typical High $234.42 | Professional | TC · Technical part | $186.21 | $204.17 | $234.42 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $181.97 Median $186.21 Typical High $218.78 | Professional | None (both parts) | $181.97 | $186.21 | $218.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $269.15 Median $549.54 Typical High $977.24 | Facility | None | $269.15 | $549.54 | $977.24 |
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 $43.65 Median $63.10 Typical High $81.28 | Professional | 26 · Professional part | $43.65 | $63.10 | $81.28 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $208.93 Typical High $275.42 | Professional | TC · Technical part | $165.96 | $208.93 | $275.42 |
CareSource Setting Facility Modifier None Typical Low $45.71 Median $199.53 Typical High $245.47 | Facility | None | $45.71 | $199.53 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $512.86 Typical High $660.69 | Facility | None | $302.00 | $512.86 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $288.40 Typical High $478.63 | Professional | None (both parts) | $218.78 | $288.40 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $52.48 Typical High $77.62 | Professional | 26 · Professional part | $45.71 | $52.48 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $229.09 Typical High $380.19 | Professional | TC · Technical part | $165.96 | $229.09 | $380.19 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $501.19 Median $794.33 Typical High $2,187.76 | Facility | None | $501.19 | $794.33 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $275.42 Median $363.08 Typical High $524.81 | Professional | None (both parts) | $275.42 | $363.08 | $524.81 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $63.10 Typical High $91.20 | Professional | 26 · Professional part | $47.86 | $63.10 | $91.20 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $295.12 Typical High $426.58 | Professional | TC · Technical part | $229.09 | $295.12 | $426.58 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $302.00 Typical High $467.74 | Professional | None (both parts) | $234.42 | $302.00 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $51.29 Typical High $81.28 | Professional | 26 · Professional part | $41.69 | $51.29 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $245.47 Typical High $389.05 | Professional | TC · Technical part | $194.98 | $245.47 | $389.05 |
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 $117.49 Median $123.03 Typical High $138.04 | Professional | 52 · Reduced service | $117.49 | $123.03 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $50.12 Typical High $56.23 | Professional | 53 · Discontinued | $47.86 | $50.12 | $56.23 |
Where Indiana sits
The same service costs 3.0 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· 45th of 51
$269
AK $646UT $214
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.