How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $489.78 Median $1,096.48 Typical High $2,187.76 | Facility | None | $489.78 | $1,096.48 | $2,187.76 |
Aetna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $489.78 Typical High $512.86 | Professional | None (both parts) | $446.68 | $489.78 | $512.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $467.74 Median $602.56 Typical High $1,778.28 | Facility | None | $467.74 | $602.56 | $1,778.28 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $204.17 Median $239.88 Typical High $794.33 | Professional | None (both parts) | $204.17 | $239.88 | $794.33 |
CareSource Setting Facility Modifier None Typical Low $575.44 Median $8,709.64 Typical High $13,182.57 | Facility | None | $575.44 | $8,709.64 | $13,182.57 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $602.56 Typical High $1,698.24 | Facility | None | $389.05 | $602.56 | $1,698.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $724.44 | Professional | None (both parts) | $316.23 | $316.23 | $724.44 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $1,023.29 Typical High $2,187.76 | Facility | None | $912.01 | $1,023.29 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $389.05 Median $489.78 Typical High $954.99 | Professional | None (both parts) | $389.05 | $489.78 | $954.99 |
United Setting Professional Modifier None (both parts) Typical Low $251.19 Median $354.81 Typical High $724.44 | Professional | None (both parts) | $251.19 | $354.81 | $724.44 |
3 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 26 · Professional part Typical Low $446.68 Median $489.78 Typical High $501.19 | Professional | 26 · Professional part | $446.68 | $489.78 | $501.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $223.87 Median $245.47 Typical High $257.04 | Professional | 52 · Reduced service | $223.87 | $245.47 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $97.72 Typical High $102.33 | Professional | 53 · Discontinued | $89.13 | $97.72 | $102.33 |
Where Indiana sits
The same service costs 5.5 times more in Texas 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· 40th of 51
$447
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.