How much rates vary
Facilitymedian $912 · 10th to 90th $78 to $2,089Professionalmedian $78 · 10th to 90th $52 to $135
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 $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $104.71 | Professional | None (both parts) | $89.13 | $89.13 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $39.81 | Professional | 26 · Professional part | $36.31 | $36.31 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $52.48 Typical High $63.10 | Professional | TC · Technical part | $52.48 | $52.48 | $63.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $77.62 Median $1,148.15 Typical High $1,513.56 | Facility | None | $77.62 | $1,148.15 | $1,513.56 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $50.12 Median $77.62 Typical High $93.33 | Professional | None (both parts) | $50.12 | $77.62 | $93.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $63.10 Typical High $72.44 | Professional | 26 · Professional part | $37.15 | $63.10 | $72.44 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $11.22 Median $13.80 Typical High $18.20 | Professional | TC · Technical part | $11.22 | $13.80 | $18.20 |
CareSource Setting Facility Modifier None Typical Low $38.90 Median $56.23 Typical High $93.33 | Facility | None | $38.90 | $56.23 | $93.33 |
CareSource Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $117.49 Typical High $478.63 | Professional | None (both parts) | $91.20 | $117.49 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $45.71 Typical High $186.21 | Professional | 26 · Professional part | $37.15 | $45.71 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $69.18 Typical High $288.40 | Professional | TC · Technical part | $54.95 | $69.18 | $288.40 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $190.55 Median $954.99 Typical High $2,290.87 | Facility | None | $190.55 | $954.99 | $2,290.87 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $77.62 Median $93.33 Typical High $112.20 | Professional | None (both parts) | $77.62 | $93.33 | $112.20 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $53.70 Typical High $69.18 | Professional | 26 · Professional part | $44.67 | $53.70 | $69.18 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $25.12 Typical High $29.51 | Professional | TC · Technical part | $20.89 | $25.12 | $29.51 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $100.00 Typical High $251.19 | Professional | None (both parts) | $60.26 | $100.00 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $41.69 Typical High $72.44 | Professional | 26 · Professional part | $33.88 | $41.69 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $42.66 Typical High $208.93 | Professional | TC · Technical part | $21.88 | $42.66 | $208.93 |
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 $44.67 Median $44.67 Typical High $51.29 | Professional | 52 · Reduced service | $44.67 | $44.67 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $17.78 Typical High $20.89 | Professional | 53 · Discontinued | $17.78 | $17.78 | $20.89 |
Where Indiana sits
The same service costs 5.4 times more in Hawaii 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· 47th of 51
$77.62
HI $309KY $57.54
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.