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 $2,630.27 Median $11,748.98 Typical High $11,748.98 | Facility | None | $2,630.27 | $11,748.98 | $11,748.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,398.83 Median $2,630.27 Typical High $2,691.53 | Professional | None (both parts) | $2,398.83 | $2,630.27 | $2,691.53 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,202.26 Median $1,318.26 Typical High $1,348.96 | Professional | 52 · Reduced service | $1,202.26 | $1,318.26 | $1,348.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $478.63 Median $524.81 Typical High $537.03 | Professional | 53 · Discontinued | $478.63 | $524.81 | $537.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,235.94 Median $6,456.54 Typical High $9,549.93 | Facility | None | $3,235.94 | $6,456.54 | $9,549.93 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $7.41 Median $7.41 Typical High $3,548.13 | Professional | None (both parts) | $7.41 | $7.41 | $3,548.13 |
CareSource Setting Facility Modifier None Typical Low $3,090.30 Median $46,773.51 Typical High $69,183.10 | Facility | None | $3,090.30 | $46,773.51 | $69,183.10 |
Cigna Setting Facility Modifier None Typical Low $2,089.30 Median $6,025.60 Typical High $9,120.11 | Facility | None | $2,089.30 | $6,025.60 | $9,120.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $3,715.35 Median $3,890.45 Typical High $9,549.93 | Professional | None (both parts) | $3,715.35 | $3,890.45 | $9,549.93 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $4,786.30 Median $7,943.28 Typical High $10,232.93 | Facility | None | $4,786.30 | $7,943.28 | $10,232.93 |
United Setting Professional Modifier None (both parts) Typical Low $1,348.96 Median $1,905.46 Typical High $3,801.89 | Professional | None (both parts) | $1,348.96 | $1,905.46 | $3,801.89 |
1 more rate 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 $2,398.83 Median $2,630.27 Typical High $2,691.53 | Professional | 26 · Professional part | $2,398.83 | $2,630.27 | $2,691.53 |
Where Indiana sits
The same service costs 263.0 times more in Texas than in Ohio. 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· 47th of 51
$1,905
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.