How much rates vary
Facilitymedian $158 · 10th to 90th $78 to $2,089Professionalmedian $81 · 10th to 90th $69 to $126
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 $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $77.62 Typical High $89.13 | Professional | None (both parts) | $74.13 | $77.62 | $89.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $39.81 | Professional | 26 · Professional part | $34.67 | $34.67 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $42.66 Typical High $47.86 | Professional | TC · Technical part | $39.81 | $42.66 | $47.86 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $125.89 | Professional | None (both parts) | $77.62 | $77.62 | $125.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $158.49 | Facility | None | $81.28 | $81.28 | $158.49 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $64.57 Median $81.28 Typical High $97.72 | Professional | None (both parts) | $64.57 | $81.28 | $97.72 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $39.81 Typical High $47.86 | Professional | 26 · Professional part | $30.90 | $39.81 | $47.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $41.69 Typical High $54.95 | Professional | TC · Technical part | $35.48 | $41.69 | $54.95 |
CareSource Setting Facility Modifier None Typical Low $37.15 Median $42.66 Typical High $79.43 | Facility | None | $37.15 | $42.66 | $79.43 |
CareSource Setting Professional Modifier None (both parts) Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None (both parts) | $31.62 | $31.62 | $31.62 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $97.72 Typical High $426.58 | Professional | None (both parts) | $79.43 | $97.72 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $44.67 Typical High $177.83 | Professional | 26 · Professional part | $37.15 | $44.67 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $51.29 Typical High $245.47 | Professional | TC · Technical part | $40.74 | $51.29 | $245.47 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $223.87 Median $912.01 Typical High $2,187.76 | Facility | None | $223.87 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $95.50 Median $117.49 Typical High $147.91 | Professional | None (both parts) | $95.50 | $117.49 | $147.91 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $51.29 Typical High $66.07 | Professional | 26 · Professional part | $41.69 | $51.29 | $66.07 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $66.07 Typical High $83.18 | Professional | TC · Technical part | $52.48 | $66.07 | $83.18 |
United Setting Professional Modifier None (both parts) Typical Low $74.13 Median $89.13 Typical High $147.91 | Professional | None (both parts) | $74.13 | $89.13 | $147.91 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $40.74 Typical High $69.18 | Professional | 26 · Professional part | $32.36 | $40.74 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $47.86 Typical High $79.43 | Professional | TC · Technical part | $38.02 | $47.86 | $79.43 |
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 $37.15 Median $38.90 Typical High $43.65 | Professional | 52 · Reduced service | $37.15 | $38.90 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $15.49 Typical High $17.38 | Professional | 53 · Discontinued | $14.79 | $15.49 | $17.38 |
Where Indiana sits
The same service costs 3.0 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· 43rd of 51
$81.28
AK $204TX $67.61
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.