How much rates vary
Facilitymedian $417 · 10th to 90th $85 to $912Professionalmedian $87 · 10th to 90th $69 to $132
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 $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $81.28 Typical High $91.20 | Professional | None (both parts) | $79.43 | $81.28 | $91.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $47.86 | Professional | 26 · Professional part | $41.69 | $41.69 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $39.81 Typical High $44.67 | Professional | TC · Technical part | $38.02 | $39.81 | $44.67 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $79.43 | $79.43 | $79.43 |
Anthem BCBS Setting Facility Modifier None Typical Low $87.10 Median $416.87 Typical High $524.81 | Facility | None | $87.10 | $416.87 | $524.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $69.18 Median $87.10 Typical High $109.65 | Professional | None (both parts) | $69.18 | $87.10 | $109.65 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $64.57 Typical High $77.62 | Professional | 26 · Professional part | $38.02 | $64.57 | $77.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $20.89 Typical High $53.70 | Professional | TC · Technical part | $17.78 | $20.89 | $53.70 |
CareSource Setting Facility Modifier None Typical Low $40.74 Median $44.67 Typical High $85.11 | Facility | None | $40.74 | $44.67 | $85.11 |
CareSource Setting Professional Modifier None (both parts) Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None (both parts) | $35.48 | $35.48 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $100.00 Typical High $436.52 | Professional | None (both parts) | $66.07 | $100.00 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $52.48 Typical High $213.80 | Professional | 26 · Professional part | $44.67 | $52.48 | $213.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $44.67 Typical High $223.87 | Professional | TC · Technical part | $16.22 | $44.67 | $223.87 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $134.90 Median $269.15 Typical High $2,187.76 | Facility | None | $134.90 | $269.15 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $61.66 Median $117.49 Typical High $154.88 | Professional | None (both parts) | $61.66 | $117.49 | $154.88 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $61.66 Typical High $77.62 | Professional | 26 · Professional part | $50.12 | $61.66 | $77.62 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $60.26 Typical High $77.62 | Professional | TC · Technical part | $45.71 | $60.26 | $77.62 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $87.10 Typical High $144.54 | Professional | None (both parts) | $70.79 | $87.10 | $144.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $47.86 Typical High $81.28 | Professional | 26 · Professional part | $38.90 | $47.86 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $39.81 Typical High $67.61 | Professional | TC · Technical part | $26.92 | $39.81 | $67.61 |
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 $39.81 Median $40.74 Typical High $44.67 | Professional | 52 · Reduced service | $39.81 | $40.74 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $16.22 Typical High $18.20 | Professional | 53 · Discontinued | $15.85 | $16.22 | $18.20 |
Where Indiana sits
The same service costs 3.2 times more in Alaska than in Alabama. 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· 34th of 51
$87.10
AK $219AL $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.