How much rates vary
Facilitymedian $200 · 10th to 90th $68 to $2,089Professionalmedian $68 · 10th to 90th $58 to $98
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 $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $70.79 Typical High $79.43 | Professional | None (both parts) | $60.26 | $70.79 | $79.43 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $21.38 Typical High $23.44 | Professional | 26 · Professional part | $20.42 | $21.38 | $23.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $48.98 Typical High $56.23 | Professional | TC · Technical part | $39.81 | $48.98 | $56.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $67.61 Median $181.97 Typical High $239.88 | Facility | None | $67.61 | $181.97 | $239.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $54.95 Median $67.61 Typical High $75.86 | Professional | None (both parts) | $54.95 | $67.61 | $75.86 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $22.91 Typical High $25.70 | Professional | 26 · Professional part | $19.50 | $22.91 | $25.70 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $45.71 Typical High $51.29 | Professional | TC · Technical part | $38.02 | $45.71 | $51.29 |
CareSource Setting Facility Modifier None Typical Low $21.88 Median $41.69 Typical High $63.10 | Facility | None | $21.88 | $41.69 | $63.10 |
CareSource Setting Professional Modifier None (both parts) Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | None (both parts) | $18.62 | $18.62 | $18.62 |
Cigna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $85.11 Typical High $125.89 | Professional | None (both parts) | $64.57 | $85.11 | $125.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $27.54 Typical High $42.66 | Professional | 26 · Professional part | $21.38 | $27.54 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $58.88 Typical High $87.10 | Professional | TC · Technical part | $42.66 | $58.88 | $87.10 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $190.55 Median $912.01 Typical High $2,187.76 | Facility | None | $190.55 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $70.79 Median $93.33 Typical High $138.04 | Professional | None (both parts) | $70.79 | $93.33 | $138.04 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $63.10 Typical High $87.10 | Professional | TC · Technical part | $50.12 | $63.10 | $87.10 |
United Setting Professional Modifier None (both parts) Typical Low $61.66 Median $77.62 Typical High $114.82 | Professional | None (both parts) | $61.66 | $77.62 | $114.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $24.55 Typical High $37.15 | Professional | 26 · Professional part | $19.95 | $24.55 | $37.15 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $53.70 Typical High $77.62 | Professional | TC · Technical part | $42.66 | $53.70 | $77.62 |
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 $30.20 Median $35.48 Typical High $39.81 | Professional | 52 · Reduced service | $30.20 | $35.48 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $14.13 Typical High $15.85 | Professional | 53 · Discontinued | $12.02 | $14.13 | $15.85 |
Where Indiana sits
The same service costs 4.9 times more in Nebraska 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
$67.61
NE $155UT $31.62
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.