How much rates vary
Facilitymedian $646 · 10th to 90th $229 to $977Professionalmedian $245 · 10th to 90th $209 to $372
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 $229.09 Median $295.12 Typical High $354.81 | Facility | None | $229.09 | $295.12 | $354.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $323.59 | Professional | None (both parts) | $229.09 | $229.09 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $36.31 Typical High $47.86 | Professional | 26 · Professional part | $34.67 | $36.31 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $257.04 | Professional | TC · Technical part | $190.55 | $190.55 | $257.04 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $239.88 | $239.88 | $239.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $245.47 Median $724.44 Typical High $977.24 | Facility | None | $245.47 | $724.44 | $977.24 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $245.47 Typical High $323.59 | Professional | None (both parts) | $199.53 | $245.47 | $323.59 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $36.31 Typical High $47.86 | Professional | 26 · Professional part | $29.51 | $36.31 | $47.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $208.93 Typical High $275.42 | Professional | TC · Technical part | $169.82 | $208.93 | $275.42 |
CareSource Setting Facility Modifier None Typical Low $38.90 Median $194.98 Typical High $234.42 | Facility | None | $38.90 | $194.98 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $512.86 Typical High $645.65 | Facility | None | $162.18 | $512.86 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $288.40 Typical High $398.11 | Professional | None (both parts) | $245.47 | $288.40 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $42.66 Typical High $58.88 | Professional | 26 · Professional part | $37.15 | $42.66 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $239.88 Typical High $331.13 | Professional | TC · Technical part | $204.17 | $239.88 | $331.13 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $660.69 Median $912.01 Typical High $2,187.76 | Facility | None | $660.69 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $263.03 Median $331.13 Typical High $446.68 | Professional | None (both parts) | $263.03 | $331.13 | $446.68 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $48.98 Typical High $67.61 | Professional | 26 · Professional part | $39.81 | $48.98 | $67.61 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $275.42 Typical High $380.19 | Professional | TC · Technical part | $223.87 | $275.42 | $380.19 |
United Setting Professional Modifier None (both parts) Typical Low $229.09 Median $281.84 Typical High $436.52 | Professional | None (both parts) | $229.09 | $281.84 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $41.69 Typical High $66.07 | Professional | 26 · Professional part | $34.67 | $41.69 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $234.42 Typical High $380.19 | Professional | TC · Technical part | $194.98 | $234.42 | $380.19 |
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 $114.82 Typical High $128.82 | Professional | 52 · Reduced service | $114.82 | $114.82 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $52.48 | Professional | 53 · Discontinued | $45.71 | $45.71 | $52.48 |
Where Indiana sits
The same service costs 3.1 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· 47th of 51
$245
AK $631UT $204
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.