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 $501.19 Median $2,238.72 Typical High $2,238.72 | Facility | None | $501.19 | $2,238.72 | $2,238.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $457.09 Median $501.19 Typical High $512.86 | Professional | None (both parts) | $457.09 | $501.19 | $512.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $229.09 Median $251.19 Typical High $257.04 | Professional | 52 · Reduced service | $229.09 | $251.19 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $100.00 Typical High $102.33 | Professional | 53 · Discontinued | $91.20 | $100.00 | $102.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $602.56 Median $1,230.27 Typical High $1,819.70 | Facility | None | $602.56 | $1,230.27 | $1,819.70 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $676.08 | Professional | None (both parts) | $109.65 | $109.65 | $676.08 |
CareSource Setting Facility Modifier None Typical Low $588.84 Median $8,912.51 Typical High $13,182.57 | Facility | None | $588.84 | $8,912.51 | $13,182.57 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $1,148.15 Typical High $1,737.80 | Facility | None | $398.11 | $1,148.15 | $1,737.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $741.31 | Professional | None (both parts) | $144.54 | $144.54 | $741.31 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $1,513.56 Typical High $1,949.84 | Facility | None | $912.01 | $1,513.56 | $1,949.84 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $363.08 Typical High $724.44 | Professional | None (both parts) | $257.04 | $363.08 | $724.44 |
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 $457.09 Median $501.19 Typical High $512.86 | Professional | 26 · Professional part | $457.09 | $501.19 | $512.86 |
Where Indiana sits
The same service costs 47.9 times more in Texas than in Alabama. 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· 46th of 51
$363
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.