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 $1,995.26 Median $4,466.84 Typical High $9,120.11 | Facility | None | $1,995.26 | $4,466.84 | $9,120.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,819.70 Median $1,995.26 Typical High $2,041.74 | Professional | None (both parts) | $1,819.70 | $1,995.26 | $2,041.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $912.01 Median $1,000.00 Typical High $1,023.29 | Professional | 52 · Reduced service | $912.01 | $1,000.00 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $363.08 Median $398.11 Typical High $407.38 | Professional | 53 · Discontinued | $363.08 | $398.11 | $407.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,454.71 Median $4,897.79 Typical High $7,413.10 | Facility | None | $2,454.71 | $4,897.79 | $7,413.10 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $9.12 Median $9.12 Typical High $2,691.53 | Professional | None (both parts) | $9.12 | $9.12 | $2,691.53 |
CareSource Setting Facility Modifier None Typical Low $2,398.83 Median $35,481.34 Typical High $53,703.18 | Facility | None | $2,398.83 | $35,481.34 | $53,703.18 |
Cigna Setting Facility Modifier None Typical Low $1,584.89 Median $4,677.35 Typical High $6,918.31 | Facility | None | $1,584.89 | $4,677.35 | $6,918.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $12.02 Median $12.02 Typical High $3,019.95 | Professional | None (both parts) | $12.02 | $12.02 | $3,019.95 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $3,715.35 Median $6,165.95 Typical High $7,762.47 | Facility | None | $3,715.35 | $6,165.95 | $7,762.47 |
United Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,479.11 Typical High $2,951.21 | Professional | None (both parts) | $1,023.29 | $1,479.11 | $2,951.21 |
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 $1,819.70 Median $1,995.26 Typical High $2,041.74 | Professional | 26 · Professional part | $1,819.70 | $1,995.26 | $2,041.74 |
Where Indiana sits
The same service costs 8.9 times more in Alaska 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· 40th 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.