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 $616.60 Median $1,412.54 Typical High $2,818.38 | Facility | None | $616.60 | $1,412.54 | $2,818.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $575.44 Median $616.60 Typical High $645.65 | Professional | None (both parts) | $575.44 | $616.60 | $645.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $758.58 Median $1,513.56 Typical High $2,290.87 | Facility | None | $758.58 | $1,513.56 | $2,290.87 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $144.54 Median $169.82 Typical High $831.76 | Professional | None (both parts) | $144.54 | $169.82 | $831.76 |
CareSource Setting Facility Modifier None Typical Low $741.31 Median $10,964.78 Typical High $16,595.87 | Facility | None | $741.31 | $10,964.78 | $16,595.87 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $1,445.44 Typical High $2,137.96 | Facility | None | $489.78 | $1,445.44 | $2,137.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $933.25 | Professional | None (both parts) | $223.87 | $223.87 | $933.25 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $1,905.46 Typical High $2,290.87 | Facility | None | $912.01 | $1,905.46 | $2,290.87 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $501.19 Median $645.65 Typical High $1,174.90 | Professional | None (both parts) | $501.19 | $645.65 | $1,174.90 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $457.09 Typical High $912.01 | Professional | None (both parts) | $316.23 | $457.09 | $912.01 |
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 $575.44 Median $616.60 Typical High $645.65 | Professional | 26 · Professional part | $575.44 | $616.60 | $645.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $281.84 Median $309.03 Typical High $316.23 | Professional | 52 · Reduced service | $281.84 | $309.03 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $125.89 Typical High $128.82 | Professional | 53 · Discontinued | $114.82 | $125.89 | $128.82 |
Where Indiana sits
The same service costs 12.0 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· 48th of 51
$447
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.