How much rates vary
Facilitymedian $479 · 10th to 90th $105 to $955Professionalmedian $117 · 10th to 90th $83 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 $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $169.82 | Professional | None (both parts) | $151.36 | $151.36 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $27.54 | Professional | 26 · Professional part | $25.70 | $25.70 | $27.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $125.89 Typical High $144.54 | Professional | TC · Technical part | $125.89 | $125.89 | $144.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $134.90 | $134.90 | $134.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $104.71 Median $660.69 Typical High $891.25 | Facility | None | $104.71 | $660.69 | $891.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $83.18 Median $104.71 Typical High $158.49 | Professional | None (both parts) | $83.18 | $104.71 | $158.49 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $53.70 Typical High $57.54 | Professional | 26 · Professional part | $26.30 | $53.70 | $57.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $50.12 Typical High $131.83 | Professional | TC · Technical part | $42.66 | $50.12 | $131.83 |
CareSource Setting Facility Modifier None Typical Low $27.54 Median $141.25 Typical High $169.82 | Facility | None | $27.54 | $141.25 | $169.82 |
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 $74.13 Median $144.54 Typical High $812.83 | Professional | None (both parts) | $74.13 | $144.54 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $33.88 Typical High $141.25 | Professional | 26 · Professional part | $27.54 | $33.88 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $134.90 Typical High $691.83 | Professional | TC · Technical part | $39.81 | $134.90 | $691.83 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $478.63 Median $912.01 Typical High $2,187.76 | Facility | None | $478.63 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $169.82 Median $239.88 Typical High $302.00 | Professional | None (both parts) | $169.82 | $239.88 | $302.00 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $38.02 Typical High $48.98 | Professional | 26 · Professional part | $30.90 | $38.02 | $48.98 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $199.53 Typical High $251.19 | Professional | TC · Technical part | $141.25 | $199.53 | $251.19 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $134.90 Typical High $245.47 | Professional | None (both parts) | $104.71 | $134.90 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $28.84 Typical High $50.12 | Professional | 26 · Professional part | $22.91 | $28.84 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $107.15 Typical High $194.98 | Professional | TC · Technical part | $83.18 | $107.15 | $194.98 |
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 $75.86 Median $75.86 Typical High $85.11 | Professional | 52 · Reduced service | $75.86 | $75.86 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $34.67 | Professional | 53 · Discontinued | $30.20 | $30.20 | $34.67 |
Where Indiana sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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· 50th of 51
$117
AK $324KY $115
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.