How much rates vary
Facilitymedian $339 · 10th to 90th $46 to $2,089Professionalmedian $59 · 10th to 90th $43 to $105
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 $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $75.86 Typical High $85.11 | Professional | None (both parts) | $74.13 | $75.86 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $18.62 Typical High $19.95 | Professional | 26 · Professional part | $18.62 | $18.62 | $19.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $56.23 Typical High $64.57 | Professional | TC · Technical part | $53.70 | $56.23 | $64.57 |
Anthem BCBS Setting Facility Modifier None Typical Low $45.71 Median $398.11 Typical High $524.81 | Facility | None | $45.71 | $398.11 | $524.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $38.90 Median $45.71 Typical High $97.72 | Professional | None (both parts) | $38.90 | $45.71 | $97.72 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $27.54 Typical High $28.18 | Professional | 26 · Professional part | $19.95 | $27.54 | $28.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $18.62 Typical High $70.79 | Professional | TC · Technical part | $15.85 | $18.62 | $70.79 |
CareSource Setting Facility Modifier None Typical Low $20.42 Median $64.57 Typical High $85.11 | Facility | None | $20.42 | $64.57 | $85.11 |
CareSource Setting Professional Modifier None (both parts) Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | None (both parts) | $16.98 | $16.98 | $16.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $64.57 Typical High $144.54 | Professional | None (both parts) | $44.67 | $64.57 | $144.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $22.39 Typical High $38.90 | Professional | 26 · Professional part | $18.20 | $22.39 | $38.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $43.65 Typical High $120.23 | Professional | TC · Technical part | $22.39 | $43.65 | $120.23 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $239.88 Median $912.01 Typical High $2,187.76 | Facility | None | $239.88 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $72.44 Median $114.82 Typical High $173.78 | Professional | None (both parts) | $72.44 | $114.82 | $173.78 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $26.92 Typical High $39.81 | Professional | 26 · Professional part | $20.89 | $26.92 | $39.81 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $87.10 Typical High $134.90 | Professional | TC · Technical part | $48.98 | $87.10 | $134.90 |
United Setting Professional Modifier None (both parts) Typical Low $51.29 Median $63.10 Typical High $102.33 | Professional | None (both parts) | $51.29 | $63.10 | $102.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $19.50 Typical High $30.20 | Professional | 26 · Professional part | $16.22 | $19.50 | $30.20 |
United Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $43.65 Typical High $74.13 | Professional | TC · Technical part | $31.62 | $43.65 | $74.13 |
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 $37.15 Median $38.02 Typical High $42.66 | Professional | 52 · Reduced service | $37.15 | $38.02 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $15.14 Typical High $16.98 | Professional | 53 · Discontinued | $14.79 | $15.14 | $16.98 |
Where Indiana sits
The same service costs 3.5 times more in North Dakota than in Kentucky. 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· 50th of 51
$58.88
ND $186KY $53.70
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.