How much rates vary
Facilitymedian $195 · 10th to 90th $117 to $912Professionalmedian $162 · 10th to 90th $93 to $209
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 $194.98 | Facility | None | $151.36 | $162.18 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $162.18 Typical High $186.21 | Professional | None (both parts) | $138.04 | $162.18 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $26.30 Typical High $29.51 | Professional | 26 · Professional part | $25.70 | $26.30 | $29.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $138.04 Typical High $154.88 | Professional | TC · Technical part | $112.20 | $138.04 | $154.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $120.23 | $120.23 | $120.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $102.33 Median $660.69 Typical High $891.25 | Facility | None | $102.33 | $660.69 | $891.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $93.33 Median $154.88 Typical High $194.98 | Professional | None (both parts) | $93.33 | $154.88 | $194.98 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $52.48 Typical High $56.23 | Professional | 26 · Professional part | $26.30 | $52.48 | $56.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $50.12 Typical High $114.82 | Professional | TC · Technical part | $42.66 | $50.12 | $114.82 |
CareSource Setting Facility Modifier None Typical Low $27.54 Median $117.49 Typical High $147.91 | Facility | None | $27.54 | $117.49 | $147.91 |
CareSource Setting Professional Modifier None (both parts) Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | None (both parts) | $23.44 | $23.44 | $23.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $154.88 Typical High $831.76 | Professional | None (both parts) | $72.44 | $154.88 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $33.11 Typical High $138.04 | Professional | 26 · Professional part | $26.92 | $33.11 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $131.83 Typical High $602.56 | Professional | TC · Technical part | $39.81 | $131.83 | $602.56 |
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 $151.36 Median $223.87 Typical High $263.03 | Professional | None (both parts) | $151.36 | $223.87 | $263.03 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $38.02 Typical High $48.98 | Professional | 26 · Professional part | $31.62 | $38.02 | $48.98 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $181.97 Typical High $223.87 | Professional | TC · Technical part | $123.03 | $181.97 | $223.87 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $141.25 Typical High $257.04 | Professional | None (both parts) | $109.65 | $141.25 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $29.51 Typical High $51.29 | Professional | 26 · Professional part | $24.55 | $29.51 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $114.82 Typical High $199.53 | Professional | TC · Technical part | $81.28 | $114.82 | $199.53 |
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 $69.18 Median $81.28 Typical High $91.20 | Professional | 52 · Reduced service | $69.18 | $81.28 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $32.36 Typical High $37.15 | Professional | 53 · Discontinued | $27.54 | $32.36 | $37.15 |
Where Indiana sits
The same service costs 2.9 times more in Alaska than in New Mexico. 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· 38th of 51
$162
AK $347NM $120
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.