How much rates vary
Facilitymedian $324 · 10th to 90th $162 to $550Professionalmedian $170 · 10th to 90th $129 to $245
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 $151.36 Median $162.18 Typical High $213.80 | Facility | None | $151.36 | $162.18 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $151.36 Typical High $165.96 | Professional | None (both parts) | $141.25 | $151.36 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $83.18 | Professional | 26 · Professional part | $75.86 | $75.86 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $74.13 Typical High $83.18 | Professional | TC · Technical part | $66.07 | $74.13 | $83.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $239.88 | $239.88 | $239.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $173.78 Median $323.59 Typical High $549.54 | Facility | None | $173.78 | $323.59 | $549.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $141.25 Median $173.78 Typical High $208.93 | Professional | None (both parts) | $141.25 | $173.78 | $208.93 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $134.90 Typical High $154.88 | Professional | 26 · Professional part | $77.62 | $134.90 | $154.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $40.74 Typical High $74.13 | Professional | TC · Technical part | $34.67 | $40.74 | $74.13 |
CareSource Setting Facility Modifier None Typical Low $70.79 Median $81.28 Typical High $151.36 | Facility | None | $70.79 | $81.28 | $151.36 |
CareSource Setting Professional Modifier None (both parts) Typical Low $67.61 Median $95.50 Typical High $190.55 | Professional | None (both parts) | $67.61 | $95.50 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Facility | None | $323.59 | $323.59 | $323.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $190.55 Typical High $776.25 | Professional | None (both parts) | $117.49 | $190.55 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $97.72 Typical High $389.05 | Professional | 26 · Professional part | $77.62 | $97.72 | $389.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $91.20 Typical High $389.05 | Professional | TC · Technical part | $32.36 | $91.20 | $389.05 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $416.87 Median $912.01 Typical High $2,187.76 | Facility | None | $416.87 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $169.82 Median $213.80 Typical High $288.40 | Professional | None (both parts) | $169.82 | $213.80 | $288.40 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $112.20 Typical High $144.54 | Professional | 26 · Professional part | $91.20 | $112.20 | $144.54 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $104.71 Typical High $141.25 | Professional | TC · Technical part | $79.43 | $104.71 | $141.25 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $169.82 Typical High $288.40 | Professional | None (both parts) | $125.89 | $169.82 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $87.10 Typical High $147.91 | Professional | 26 · Professional part | $70.79 | $87.10 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $83.18 Typical High $144.54 | Professional | TC · Technical part | $38.90 | $83.18 | $144.54 |
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 $74.13 Typical High $83.18 | Professional | 52 · Reduced service | $70.79 | $74.13 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $30.20 Typical High $33.11 | Professional | 53 · Discontinued | $28.84 | $30.20 | $33.11 |
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· 30th of 51
$170
AK $398TX $102
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.