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 $1,445.44 Median $3,235.94 Typical High $6,456.54 | Facility | None | $1,445.44 | $3,235.94 | $6,456.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | None (both parts) | $1,445.44 | $1,445.44 | $1,445.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,949.84 Median $3,890.45 Typical High $5,888.44 | Facility | None | $1,949.84 | $3,890.45 | $5,888.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,445.44 Typical High $2,570.40 | Professional | None (both parts) | $1,230.27 | $1,445.44 | $2,570.40 |
CareSource Setting Facility Modifier None Typical Low $1,905.46 Median $28,183.83 Typical High $42,657.95 | Facility | None | $1,905.46 | $28,183.83 | $42,657.95 |
Cigna Setting Facility Modifier None Typical Low $1,258.93 Median $3,715.35 Typical High $5,495.41 | Facility | None | $1,258.93 | $3,715.35 | $5,495.41 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,905.46 Median $1,905.46 Typical High $2,398.83 | Professional | None (both parts) | $1,905.46 | $1,905.46 | $2,398.83 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $2,951.21 Typical High $5,888.44 | Facility | None | $912.01 | $2,951.21 | $5,888.44 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $1,659.59 Typical High $2,951.21 | Professional | None (both parts) | $1,258.93 | $1,659.59 | $2,951.21 |
United Setting Professional Modifier None (both parts) Typical Low $741.31 Median $1,047.13 Typical High $2,089.30 | Professional | None (both parts) | $741.31 | $1,047.13 | $2,089.30 |
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 $1,445.44 Median $1,445.44 Typical High $1,584.89 | Professional | 26 · Professional part | $1,445.44 | $1,445.44 | $1,584.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $724.44 Median $724.44 Typical High $794.33 | Professional | 52 · Reduced service | $724.44 | $724.44 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $288.40 Typical High $316.23 | Professional | 53 · Discontinued | $288.40 | $288.40 | $316.23 |
Where Indiana sits
The same service costs 154.9 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· 30th of 51
$1,445
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.