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 $2,884.03 Median $6,456.54 Typical High $12,882.50 | Facility | None | $2,884.03 | $6,456.54 | $12,882.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,884.03 Median $2,884.03 Typical High $3,019.95 | Professional | None (both parts) | $2,884.03 | $2,884.03 | $3,019.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,467.37 Median $7,079.46 Typical High $10,471.29 | Facility | None | $3,467.37 | $7,079.46 | $10,471.29 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $204.17 Median $239.88 Typical High $3,890.45 | Professional | None (both parts) | $204.17 | $239.88 | $3,890.45 |
CareSource Setting Facility Modifier None Typical Low $3,388.44 Median $51,286.14 Typical High $75,857.76 | Facility | None | $3,388.44 | $51,286.14 | $75,857.76 |
Cigna Setting Facility Modifier None Typical Low $2,290.87 Median $6,606.93 Typical High $10,000.00 | Facility | None | $2,290.87 | $6,606.93 | $10,000.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $4,265.80 | Professional | None (both parts) | $316.23 | $316.23 | $4,265.80 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $5,888.44 Typical High $10,471.29 | Facility | None | $912.01 | $5,888.44 | $10,471.29 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $2,290.87 Median $2,884.03 Typical High $3,467.37 | Professional | None (both parts) | $2,290.87 | $2,884.03 | $3,467.37 |
United Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $2,089.30 Typical High $4,168.69 | Professional | None (both parts) | $1,479.11 | $2,089.30 | $4,168.69 |
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 $2,630.27 Median $2,884.03 Typical High $2,951.21 | Professional | 26 · Professional part | $2,630.27 | $2,884.03 | $2,951.21 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,318.26 Median $1,445.44 Typical High $1,513.56 | Professional | 52 · Reduced service | $1,318.26 | $1,445.44 | $1,513.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $524.81 Median $575.44 Typical High $602.56 | Professional | 53 · Discontinued | $524.81 | $575.44 | $602.56 |
Where Indiana sits
The same service costs 28.8 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
$1,479
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.