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 $1,096.48 Median $2,454.71 Typical High $4,897.79 | Facility | None | $1,096.48 | $2,454.71 | $4,897.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,096.48 Typical High $1,148.15 | Professional | None (both parts) | $1,000.00 | $1,096.48 | $1,148.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,348.96 Median $2,691.53 Typical High $3,981.07 | Facility | None | $1,348.96 | $2,691.53 | $3,981.07 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $676.08 Median $851.14 Typical High $1,513.56 | Professional | None (both parts) | $676.08 | $851.14 | $1,513.56 |
CareSource Setting Facility Modifier None Typical Low $1,288.25 Median $19,498.45 Typical High $28,840.32 | Facility | None | $1,288.25 | $19,498.45 | $28,840.32 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $2,511.89 Typical High $3,801.89 | Facility | None | $870.96 | $2,511.89 | $3,801.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,122.02 Typical High $1,621.81 | Professional | None (both parts) | $1,122.02 | $1,122.02 | $1,621.81 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $2,187.76 Typical High $4,073.80 | Facility | None | $912.01 | $2,187.76 | $4,073.80 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $851.14 Median $1,071.52 Typical High $1,348.96 | Professional | None (both parts) | $851.14 | $1,071.52 | $1,348.96 |
United Setting Professional Modifier None (both parts) Typical Low $562.34 Median $794.33 Typical High $1,621.81 | Professional | None (both parts) | $562.34 | $794.33 | $1,621.81 |
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 $1,000.00 Median $1,096.48 Typical High $1,122.02 | Professional | 26 · Professional part | $1,000.00 | $1,096.48 | $1,122.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $501.19 Median $549.54 Typical High $575.44 | Professional | 52 · Reduced service | $501.19 | $549.54 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $218.78 Typical High $229.09 | Professional | 53 · Discontinued | $199.53 | $218.78 | $229.09 |
Where Indiana sits
The same service costs 11.7 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· 36th of 51
$955
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.