How much rates vary
Facilitymedian $427 · 10th to 90th $107 to $912Professionalmedian $107 · 10th to 90th $91 to $166
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 $104.71 Median $123.03 Typical High $269.15 | Facility | None | $104.71 | $123.03 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $104.71 Typical High $117.49 | Professional | None (both parts) | $100.00 | $104.71 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $52.48 | Professional | 26 · Professional part | $47.86 | $47.86 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $57.54 Typical High $64.57 | Professional | TC · Technical part | $53.70 | $57.54 | $64.57 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None (both parts) | $107.15 | $107.15 | $107.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $107.15 Median $426.58 Typical High $549.54 | Facility | None | $107.15 | $426.58 | $549.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $85.11 Median $107.15 Typical High $131.83 | Professional | None (both parts) | $85.11 | $107.15 | $131.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $81.28 Typical High $93.33 | Professional | 26 · Professional part | $48.98 | $81.28 | $93.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $20.89 Typical High $63.10 | Professional | TC · Technical part | $17.78 | $20.89 | $63.10 |
CareSource Setting Facility Modifier None Typical Low $51.29 Median $57.54 Typical High $107.15 | Facility | None | $51.29 | $57.54 | $107.15 |
CareSource Setting Professional Modifier None (both parts) Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None (both parts) | $43.65 | $43.65 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $134.90 Typical High $575.44 | Professional | None (both parts) | $89.13 | $134.90 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $60.26 Typical High $245.47 | Professional | 26 · Professional part | $48.98 | $60.26 | $245.47 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $69.18 Typical High $331.13 | Professional | TC · Technical part | $33.88 | $69.18 | $331.13 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $302.00 Median $912.01 Typical High $2,187.76 | Facility | None | $302.00 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $123.03 Median $158.49 Typical High $208.93 | Professional | None (both parts) | $123.03 | $158.49 | $208.93 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $70.79 Typical High $93.33 | Professional | 26 · Professional part | $56.23 | $70.79 | $93.33 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $89.13 Typical High $117.49 | Professional | TC · Technical part | $67.61 | $89.13 | $117.49 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $120.23 Typical High $199.53 | Professional | None (both parts) | $91.20 | $120.23 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $53.70 Typical High $91.20 | Professional | 26 · Professional part | $44.67 | $53.70 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $64.57 Typical High $109.65 | Professional | TC · Technical part | $38.02 | $64.57 | $109.65 |
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 $51.29 Median $52.48 Typical High $57.54 | Professional | 52 · Reduced service | $51.29 | $52.48 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.89 Typical High $22.91 | Professional | 53 · Discontinued | $20.42 | $20.89 | $22.91 |
Where Indiana sits
The same service costs 3.9 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· 44th of 51
$107
AK $282TX $72.44
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.