How much rates vary
Facilitymedian $417 · 10th to 90th $62 to $912Professionalmedian $105 · 10th to 90th $62 to $155
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 $58.88 Median $61.66 Typical High $61.66 | Facility | None | $58.88 | $61.66 | $61.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $61.66 Typical High $85.11 | Professional | None (both parts) | $60.26 | $61.66 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $17.38 Typical High $19.50 | Professional | 26 · Professional part | $17.38 | $17.38 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $43.65 Typical High $54.95 | Professional | TC · Technical part | $42.66 | $43.65 | $54.95 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $120.23 | Professional | None (both parts) | $57.54 | $57.54 | $120.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $123.03 Median $416.87 Typical High $891.25 | Facility | None | $123.03 | $416.87 | $891.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $63.10 Median $123.03 Typical High $134.90 | Professional | None (both parts) | $63.10 | $123.03 | $134.90 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $38.90 Typical High $41.69 | Professional | 26 · Professional part | $17.38 | $38.90 | $41.69 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $23.99 Typical High $69.18 | Professional | TC · Technical part | $20.42 | $23.99 | $69.18 |
CareSource Setting Facility Modifier None Typical Low $18.62 Median $44.67 Typical High $63.10 | Facility | None | $18.62 | $44.67 | $63.10 |
CareSource Setting Professional Modifier None (both parts) Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | None (both parts) | $15.85 | $15.85 | $15.85 |
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 $61.66 Median $93.33 Typical High $371.54 | Professional | None (both parts) | $61.66 | $93.33 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $21.88 Typical High $89.13 | Professional | 26 · Professional part | $17.78 | $21.88 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $58.88 Typical High $309.03 | Professional | TC · Technical part | $41.69 | $58.88 | $309.03 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $177.83 Median $912.01 Typical High $2,187.76 | Facility | None | $177.83 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $72.44 Median $91.20 Typical High $120.23 | Professional | None (both parts) | $72.44 | $91.20 | $120.23 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $25.12 Typical High $32.36 | Professional | 26 · Professional part | $19.95 | $25.12 | $32.36 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $66.07 Typical High $85.11 | Professional | TC · Technical part | $52.48 | $66.07 | $85.11 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $93.33 Typical High $154.88 | Professional | None (both parts) | $60.26 | $93.33 | $154.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $19.50 Typical High $33.11 | Professional | 26 · Professional part | $15.85 | $19.50 | $33.11 |
United Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $70.79 Typical High $134.90 | Professional | TC · Technical part | $43.65 | $70.79 | $134.90 |
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 $30.20 Median $30.90 Typical High $33.88 | Professional | 52 · Reduced service | $30.20 | $30.90 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.30 Typical High $13.80 | Professional | 53 · Discontinued | $12.02 | $12.30 | $13.80 |
Where Indiana sits
The same service costs 3.2 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· 17th of 51
$105
AK $162TX $51.29
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.