How much rates vary
Facilitymedian $813 · 10th to 90th $295 to $2,188Professionalmedian $295 · 10th to 90th $209 to $1,148
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 $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $758.58 Median $812.83 Typical High $954.99 | Professional | None (both parts) | $758.58 | $812.83 | $954.99 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $173.78 Typical High $186.21 | Professional | 26 · Professional part | $162.18 | $173.78 | $186.21 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $645.65 Typical High $776.25 | Professional | TC · Technical part | $602.56 | $645.65 | $776.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $575.44 | Facility | None | $295.12 | $295.12 | $575.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $295.12 Typical High $363.08 | Professional | None (both parts) | $199.53 | $295.12 | $363.08 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $263.03 Typical High $302.00 | Professional | 26 · Professional part | $177.83 | $263.03 | $302.00 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $37.15 Typical High $48.98 | Professional | TC · Technical part | $26.92 | $37.15 | $48.98 |
CareSource Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $812.83 | Facility | None | $173.78 | $173.78 | $812.83 |
CareSource Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $147.91 | $147.91 | $147.91 |
Cigna Setting Professional Modifier None (both parts) Typical Low $831.76 Median $1,023.29 Typical High $4,466.84 | Professional | None (both parts) | $831.76 | $1,023.29 | $4,466.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $213.80 Typical High $891.25 | Professional | 26 · Professional part | $177.83 | $213.80 | $891.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $812.83 Typical High $3,548.13 | Professional | TC · Technical part | $660.69 | $812.83 | $3,548.13 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $954.99 Typical High $2,290.87 | Facility | None | $912.01 | $954.99 | $2,290.87 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $251.19 Typical High $323.59 | Professional | 26 · Professional part | $194.98 | $251.19 | $323.59 |
United Setting Professional Modifier None (both parts) Typical Low $537.03 Median $912.01 Typical High $1,621.81 | Professional | None (both parts) | $537.03 | $912.01 | $1,621.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $194.98 Typical High $323.59 | Professional | 26 · Professional part | $158.49 | $194.98 | $323.59 |
United Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $691.83 Typical High $1,348.96 | Professional | TC · Technical part | $338.84 | $691.83 | $1,348.96 |
4 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 $380.19 Median $407.38 Typical High $478.63 | Professional | 52 · Reduced service | $380.19 | $407.38 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $162.18 Typical High $190.55 | Professional | 53 · Discontinued | $154.88 | $162.18 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $123.03 Typical High $144.54 | Professional | 55 · Aftercare only | $114.82 | $123.03 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $81.28 Typical High $95.50 | Professional | 56 · Pre-op care only | $75.86 | $81.28 | $95.50 |
Where Indiana sits
The same service costs 9.1 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· 48th of 51
$295
AK $2,188KY $240
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.