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 $223.87 Median $512.86 Typical High $1,023.29 | Facility | None | $223.87 | $512.86 | $1,023.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $223.87 Typical High $229.09 | Professional | None (both parts) | $204.17 | $223.87 | $229.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $275.42 Median $549.54 Typical High $831.76 | Facility | None | $275.42 | $549.54 | $831.76 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $93.33 Median $109.65 Typical High $302.00 | Professional | None (both parts) | $93.33 | $109.65 | $302.00 |
CareSource Setting Facility Modifier None Typical Low $269.15 Median $3,981.07 Typical High $6,025.60 | Facility | None | $269.15 | $3,981.07 | $6,025.60 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $524.81 Typical High $776.25 | Facility | None | $177.83 | $524.81 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $338.84 | Professional | None (both parts) | $144.54 | $144.54 | $338.84 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $457.09 Median $691.83 Typical High $2,187.76 | Facility | None | $457.09 | $691.83 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $173.78 Median $223.87 Typical High $275.42 | Professional | None (both parts) | $173.78 | $223.87 | $275.42 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $147.91 Typical High $295.12 | Professional | None (both parts) | $104.71 | $147.91 | $295.12 |
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 $204.17 Median $223.87 Typical High $229.09 | Professional | 26 · Professional part | $204.17 | $223.87 | $229.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $102.33 Median $112.20 Typical High $114.82 | Professional | 52 · Reduced service | $102.33 | $112.20 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $44.67 Typical High $45.71 | Professional | 53 · Discontinued | $41.69 | $44.67 | $45.71 |
Where Indiana sits
The same service costs 9.3 times more in Texas than in Indiana. 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· 51st of 51
$148
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.