How much rates vary
Facilitymedian $219 · 10th to 90th $141 to $1,514Professionalmedian $158 · 10th to 90th $135 to $224
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 $141.25 Median $190.55 Typical High $218.78 | Facility | None | $141.25 | $190.55 | $218.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $144.54 Typical High $177.83 | Professional | None (both parts) | $141.25 | $144.54 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $75.86 | Professional | 26 · Professional part | $64.57 | $64.57 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $77.62 Typical High $100.00 | Professional | TC · Technical part | $77.62 | $77.62 | $100.00 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $158.49 | Professional | None (both parts) | $154.88 | $154.88 | $158.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $158.49 Median $1,148.15 Typical High $1,513.56 | Facility | None | $158.49 | $1,148.15 | $1,513.56 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $158.49 Typical High $177.83 | Professional | None (both parts) | $131.83 | $158.49 | $177.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $91.20 Typical High $95.50 | Professional | 26 · Professional part | $66.07 | $91.20 | $95.50 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $69.18 Typical High $91.20 | Professional | TC · Technical part | $57.54 | $69.18 | $91.20 |
CareSource Setting Facility Modifier None Typical Low $69.18 Median $83.18 Typical High $151.36 | Facility | None | $69.18 | $83.18 | $151.36 |
CareSource Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $58.88 | Professional | None (both parts) | $57.54 | $57.54 | $58.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $173.78 Typical High $309.03 | Professional | None (both parts) | $141.25 | $173.78 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $79.43 Typical High $131.83 | Professional | 26 · Professional part | $63.10 | $79.43 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $89.13 Typical High $165.96 | Professional | TC · Technical part | $67.61 | $89.13 | $165.96 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $426.58 Median $912.01 Typical High $2,187.76 | Facility | None | $426.58 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $162.18 Median $204.17 Typical High $288.40 | Professional | None (both parts) | $162.18 | $204.17 | $288.40 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $89.13 Typical High $123.03 | Professional | 26 · Professional part | $72.44 | $89.13 | $123.03 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $112.20 Typical High $169.82 | Professional | TC · Technical part | $89.13 | $112.20 | $169.82 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $162.18 Typical High $239.88 | Professional | None (both parts) | $131.83 | $162.18 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $70.79 Typical High $109.65 | Professional | 26 · Professional part | $58.88 | $70.79 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $91.20 Typical High $131.83 | Professional | TC · Technical part | $72.44 | $91.20 | $131.83 |
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 $70.79 Median $70.79 Typical High $79.43 | Professional | 52 · Reduced service | $70.79 | $70.79 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $31.62 | Professional | 53 · Discontinued | $28.18 | $28.18 | $31.62 |
Where Indiana sits
The same service costs 3.6 times more in Alaska than in Texas. 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· 37th of 51
$158
AK $331TX $91.20
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.