How much rates vary
Facilitymedian $324 · 10th to 90th $120 to $912Professionalmedian $178 · 10th to 90th $120 to $263
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 $120.23 Median $177.83 Typical High $302.00 | Facility | None | $120.23 | $177.83 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $151.36 | Professional | None (both parts) | $120.23 | $120.23 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.99 Typical High $35.48 | Professional | 26 · Professional part | $23.44 | $23.99 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $109.65 | Professional | TC · Technical part | $95.50 | $95.50 | $109.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $181.97 Median $323.59 Typical High $426.58 | Facility | None | $181.97 | $323.59 | $426.58 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $112.20 Median $181.97 Typical High $239.88 | Professional | None (both parts) | $112.20 | $181.97 | $239.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $41.69 Typical High $54.95 | Professional | 26 · Professional part | $32.36 | $41.69 | $54.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $138.04 Typical High $181.97 | Professional | TC · Technical part | $83.18 | $138.04 | $181.97 |
CareSource Setting Facility Modifier None Typical Low $36.31 Median $117.49 Typical High $154.88 | Facility | None | $36.31 | $117.49 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $389.05 Typical High $467.74 | Facility | None | $302.00 | $389.05 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $186.21 Typical High $302.00 | Professional | None (both parts) | $141.25 | $186.21 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $33.88 Typical High $50.12 | Professional | 26 · Professional part | $25.70 | $33.88 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $138.04 Typical High $223.87 | Professional | TC · Technical part | $109.65 | $138.04 | $223.87 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $436.52 Median $912.01 Typical High $2,187.76 | Facility | None | $436.52 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $173.78 Median $223.87 Typical High $323.59 | Professional | None (both parts) | $173.78 | $223.87 | $323.59 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $44.67 Typical High $72.44 | Professional | 26 · Professional part | $28.84 | $44.67 | $72.44 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $177.83 Typical High $257.04 | Professional | TC · Technical part | $134.90 | $177.83 | $257.04 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $186.21 Typical High $288.40 | Professional | None (both parts) | $141.25 | $186.21 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $32.36 Typical High $47.86 | Professional | 26 · Professional part | $24.55 | $32.36 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $147.91 Typical High $239.88 | Professional | TC · Technical part | $114.82 | $147.91 | $239.88 |
3 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 $60.26 Median $60.26 Typical High $69.18 | Professional | 52 · Reduced service | $60.26 | $60.26 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $27.54 | Professional | 53 · Discontinued | $23.99 | $23.99 | $27.54 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | 59 · Distinct service | $141.25 | $141.25 | $141.25 |
Where Indiana sits
The same service costs 3.5 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· 31st of 51
$178
AK $407UT $117
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.