How much rates vary
Facilitymedian $1,000 · 10th to 90th $331 to $2,291Professionalmedian $372 · 10th to 90th $295 to $501
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 $331.13 Median $398.11 Typical High $512.86 | Facility | None | $331.13 | $398.11 | $512.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $331.13 Typical High $371.54 | Professional | None (both parts) | $331.13 | $331.13 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $46.77 | Professional | 26 · Professional part | $42.66 | $42.66 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $288.40 Typical High $331.13 | Professional | TC · Technical part | $288.40 | $288.40 | $331.13 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | 26 · Professional part | $64.57 | $64.57 | $64.57 |
Anthem BCBS Setting Facility Modifier None Typical Low $302.00 Median $1,445.44 Typical High $3,548.13 | Facility | None | $302.00 | $1,445.44 | $3,548.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $263.03 Median $371.54 Typical High $416.87 | Professional | None (both parts) | $263.03 | $371.54 | $416.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $46.77 Typical High $56.23 | Professional | 26 · Professional part | $37.15 | $46.77 | $56.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $257.04 Typical High $354.81 | Professional | TC · Technical part | $218.78 | $257.04 | $354.81 |
CareSource Setting Facility Modifier None Typical Low $45.71 Median $309.03 Typical High $354.81 | Facility | None | $45.71 | $309.03 | $354.81 |
CareSource Setting Professional Modifier None (both parts) Typical Low $41.69 Median $323.59 Typical High $457.09 | Professional | None (both parts) | $41.69 | $323.59 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,445.44 | $1,445.44 | $1,445.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $398.11 Typical High $1,949.84 | Professional | None (both parts) | $309.03 | $398.11 | $1,949.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $53.70 Typical High $218.78 | Professional | 26 · Professional part | $45.71 | $53.70 | $218.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $338.84 Typical High $1,698.24 | Professional | TC · Technical part | $263.03 | $338.84 | $1,698.24 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $954.99 Typical High $2,187.76 | Facility | None | $912.01 | $954.99 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $416.87 Median $537.03 Typical High $691.83 | Professional | None (both parts) | $416.87 | $537.03 | $691.83 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $64.57 Typical High $81.28 | Professional | 26 · Professional part | $50.12 | $64.57 | $81.28 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $467.74 Typical High $616.60 | Professional | TC · Technical part | $363.08 | $467.74 | $616.60 |
United Setting Professional Modifier None (both parts) Typical Low $295.12 Median $354.81 Typical High $588.84 | Professional | None (both parts) | $295.12 | $354.81 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $50.12 Typical High $83.18 | Professional | 26 · Professional part | $39.81 | $50.12 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $309.03 Typical High $512.86 | Professional | TC · Technical part | $251.19 | $309.03 | $512.86 |
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 $165.96 Median $165.96 Typical High $186.21 | Professional | 52 · Reduced service | $165.96 | $165.96 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $75.86 | Professional | 53 · Discontinued | $66.07 | $66.07 | $75.86 |
Where Indiana sits
The same service costs 3.0 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· 31st of 51
$372
AK $813NM $275
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.