How much rates vary
Facilitymedian $661 · 10th to 90th $141 to $2,089Professionalmedian $151 · 10th to 90th $117 to $229
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 $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $141.25 Typical High $158.49 | Professional | None (both parts) | $134.90 | $141.25 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $89.13 | Professional | 26 · Professional part | $81.28 | $81.28 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $60.26 Typical High $67.61 | Professional | TC · Technical part | $54.95 | $60.26 | $67.61 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $302.00 | Professional | None (both parts) | $144.54 | $144.54 | $302.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $151.36 Median $660.69 Typical High $891.25 | Facility | None | $151.36 | $660.69 | $891.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $77.62 Median $151.36 Typical High $173.78 | Professional | None (both parts) | $77.62 | $151.36 | $173.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $91.20 Typical High $114.82 | Professional | 26 · Professional part | $72.44 | $91.20 | $114.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $61.66 Typical High $75.86 | Professional | TC · Technical part | $48.98 | $61.66 | $75.86 |
CareSource Setting Facility Modifier None Typical Low $58.88 Median $87.10 Typical High $144.54 | Facility | None | $58.88 | $87.10 | $144.54 |
CareSource Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None (both parts) | $50.12 | $50.12 | $50.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $181.97 Typical High $741.31 | Professional | None (both parts) | $151.36 | $181.97 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $107.15 Typical High $426.58 | Professional | 26 · Professional part | $91.20 | $107.15 | $426.58 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $74.13 Typical High $323.59 | Professional | TC · Technical part | $60.26 | $74.13 | $323.59 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $436.52 Median $912.01 Typical High $2,187.76 | Facility | None | $436.52 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $165.96 Median $213.80 Typical High $275.42 | Professional | None (both parts) | $165.96 | $213.80 | $275.42 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $123.03 Typical High $158.49 | Professional | 26 · Professional part | $95.50 | $123.03 | $158.49 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $89.13 Typical High $114.82 | Professional | TC · Technical part | $69.18 | $89.13 | $114.82 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $165.96 Typical High $269.15 | Professional | None (both parts) | $128.82 | $165.96 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $97.72 Typical High $162.18 | Professional | 26 · Professional part | $75.86 | $97.72 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $67.61 Typical High $107.15 | Professional | TC · Technical part | $53.70 | $67.61 | $107.15 |
3 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 $67.61 Median $70.79 Typical High $79.43 | Professional | 52 · Reduced service | $67.61 | $70.79 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $28.18 Typical High $31.62 | Professional | 53 · Discontinued | $26.92 | $28.18 | $31.62 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 59 · Distinct service | $134.90 | $134.90 | $134.90 |
Where Indiana sits
The same service costs 3.6 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· 42nd of 51
$151
AK $380TX $105
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.