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 $3,467.37 Median $3,467.37 Typical High $7,762.47 | Facility | None | $3,467.37 | $3,467.37 | $7,762.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $3,162.28 Median $3,467.37 Typical High $3,467.37 | Professional | None (both parts) | $3,162.28 | $3,467.37 | $3,467.37 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,168.69 Median $8,317.64 Typical High $12,589.25 | Facility | None | $4,168.69 | $8,317.64 | $12,589.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $177.83 Median $208.93 Typical High $4,570.88 | Professional | None (both parts) | $177.83 | $208.93 | $4,570.88 |
CareSource Setting Facility Modifier None Typical Low $4,073.80 Median $60,255.96 Typical High $91,201.08 | Facility | None | $4,073.80 | $60,255.96 | $91,201.08 |
Cigna Setting Facility Modifier None Typical Low $2,691.53 Median $7,943.28 Typical High $11,748.98 | Facility | None | $2,691.53 | $7,943.28 | $11,748.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $5,128.61 | Professional | None (both parts) | $275.42 | $275.42 | $5,128.61 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $6,309.57 Typical High $12,589.25 | Facility | None | $912.01 | $6,309.57 | $12,589.25 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $2,754.23 Median $3,548.13 Typical High $6,456.54 | Professional | None (both parts) | $2,754.23 | $3,548.13 | $6,456.54 |
United Setting Professional Modifier None (both parts) Typical Low $1,737.80 Median $2,511.89 Typical High $5,011.87 | Professional | None (both parts) | $1,737.80 | $2,511.89 | $5,011.87 |
4 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 $3,162.28 Median $3,467.37 Typical High $3,467.37 | Professional | 26 · Professional part | $3,162.28 | $3,467.37 | $3,467.37 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,584.89 Median $1,698.24 Typical High $1,737.80 | Professional | 52 · Reduced service | $1,584.89 | $1,698.24 | $1,737.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $630.96 Median $691.83 Typical High $707.95 | Professional | 53 · Discontinued | $630.96 | $691.83 | $707.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Professional | TC · Technical part | $3,467.37 | $3,467.37 | $3,467.37 |
Where Indiana sits
The same service costs 67.6 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· 49th of 51
$1,738
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.