How much rates vary
Facilitymedian $347 · 10th to 90th $117 to $468Professionalmedian $141 · 10th to 90th $117 to $219
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $107.15 Median $117.49 Typical High $151.36 | Facility | None | $107.15 | $117.49 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $120.23 Typical High $154.88 | Professional | None (both parts) | $117.49 | $120.23 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.88 Typical High $25.70 | Professional | 26 · Professional part | $21.38 | $21.88 | $25.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $97.72 Typical High $123.03 | Professional | TC · Technical part | $95.50 | $97.72 | $123.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $154.88 | Professional | None (both parts) | $141.25 | $141.25 | $154.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $251.19 Median $323.59 Typical High $346.74 | Facility | None | $251.19 | $323.59 | $346.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $107.15 Median $141.25 Typical High $147.91 | Professional | None (both parts) | $107.15 | $141.25 | $147.91 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $18.62 Typical High $22.39 | Professional | 26 · Professional part | $15.14 | $18.62 | $22.39 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $123.03 Typical High $128.82 | Professional | TC · Technical part | $93.33 | $123.03 | $128.82 |
CareSource Setting Facility Modifier None Typical Low $23.44 Median $114.82 Typical High $138.04 | Facility | None | $23.44 | $114.82 | $138.04 |
CareSource Setting Professional Modifier None (both parts) Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None (both parts) | $19.95 | $19.95 | $19.95 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $346.74 Typical High $467.74 | Facility | None | $295.12 | $346.74 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $162.18 Typical High $316.23 | Professional | None (both parts) | $128.82 | $162.18 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $21.38 Typical High $40.74 | Professional | 26 · Professional part | $12.59 | $21.38 | $40.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $144.54 Typical High $269.15 | Professional | TC · Technical part | $112.20 | $144.54 | $269.15 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $245.47 Median $426.58 Typical High $2,187.76 | Facility | None | $245.47 | $426.58 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $162.18 Median $194.98 Typical High $295.12 | Professional | None (both parts) | $162.18 | $194.98 | $295.12 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $30.90 Typical High $45.71 | Professional | 26 · Professional part | $23.44 | $30.90 | $45.71 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $162.18 Typical High $245.47 | Professional | TC · Technical part | $134.90 | $162.18 | $245.47 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $165.96 Typical High $251.19 | Professional | None (both parts) | $131.83 | $165.96 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $22.91 Typical High $32.36 | Professional | 26 · Professional part | $13.49 | $22.91 | $32.36 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $144.54 Typical High $223.87 | Professional | TC · Technical part | $109.65 | $144.54 | $223.87 |
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 $58.88 Median $58.88 Typical High $67.61 | Professional | 52 · Reduced service | $58.88 | $58.88 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.44 Typical High $26.92 | Professional | 53 · Discontinued | $23.44 | $23.44 | $26.92 |
Where Indiana sits
The same service costs 3.7 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· 44th of 51
$141
AK $363UT $97.72
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.