How much rates vary
Facilitymedian $417 · 10th to 90th $72 to $912Professionalmedian $98 · 10th to 90th $60 to $135
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 $69.18 Median $97.72 Typical High $97.72 | Facility | None | $69.18 | $97.72 | $97.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $97.72 Typical High $109.65 | Professional | None (both parts) | $91.20 | $97.72 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $36.31 | Professional | 26 · Professional part | $32.36 | $32.36 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $64.57 Typical High $74.13 | Professional | TC · Technical part | $58.88 | $64.57 | $74.13 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $147.91 | Professional | None (both parts) | $93.33 | $93.33 | $147.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $72.44 Median $416.87 Typical High $524.81 | Facility | None | $72.44 | $416.87 | $524.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $61.66 Median $97.72 Typical High $117.49 | Professional | None (both parts) | $61.66 | $97.72 | $117.49 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $53.70 Typical High $61.66 | Professional | 26 · Professional part | $32.36 | $53.70 | $61.66 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $19.05 Typical High $67.61 | Professional | TC · Technical part | $15.85 | $19.05 | $67.61 |
CareSource Setting Facility Modifier None Typical Low $34.67 Median $63.10 Typical High $97.72 | Facility | None | $34.67 | $63.10 | $97.72 |
CareSource Setting Professional Modifier None (both parts) Typical Low $31.62 Median $69.18 Typical High $123.03 | Professional | None (both parts) | $31.62 | $69.18 | $123.03 |
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 $53.70 Median $97.72 Typical High $512.86 | Professional | None (both parts) | $53.70 | $97.72 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $39.81 Typical High $165.96 | Professional | 26 · Professional part | $33.11 | $39.81 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $70.79 Typical High $346.74 | Professional | TC · Technical part | $14.79 | $70.79 | $346.74 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $275.42 Median $912.01 Typical High $2,187.76 | Facility | None | $275.42 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $107.15 Median $141.25 Typical High $186.21 | Professional | None (both parts) | $107.15 | $141.25 | $186.21 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $47.86 Typical High $61.66 | Professional | 26 · Professional part | $38.90 | $47.86 | $61.66 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $93.33 Typical High $125.89 | Professional | TC · Technical part | $70.79 | $93.33 | $125.89 |
United Setting Professional Modifier None (both parts) Typical Low $57.54 Median $89.13 Typical High $158.49 | Professional | None (both parts) | $57.54 | $89.13 | $158.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $36.31 Typical High $61.66 | Professional | 26 · Professional part | $30.20 | $36.31 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $54.95 Typical High $100.00 | Professional | TC · Technical part | $21.38 | $54.95 | $100.00 |
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 $45.71 Median $48.98 Typical High $54.95 | Professional | 52 · Reduced service | $45.71 | $48.98 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $19.50 Typical High $21.88 | Professional | 53 · Discontinued | $18.20 | $19.50 | $21.88 |
Where Indiana sits
The same service costs 3.5 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· 35th of 51
$97.72
AK $229KY $64.57
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.