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 $549.54 Median $549.54 Typical High $1,230.27 | Facility | None | $549.54 | $549.54 | $1,230.27 |
Aetna Setting Professional Modifier None (both parts) Typical Low $501.19 Median $549.54 Typical High $562.34 | Professional | None (both parts) | $501.19 | $549.54 | $562.34 |
Anthem BCBS Setting Facility Modifier None Typical Low $660.69 Median $1,318.26 Typical High $1,995.26 | Facility | None | $660.69 | $1,318.26 | $1,995.26 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $7.94 Median $12.30 Typical High $660.69 | Professional | None (both parts) | $7.94 | $12.30 | $660.69 |
CareSource Setting Facility Modifier None Typical Low $645.65 Median $9,549.93 Typical High $14,454.40 | Facility | None | $645.65 | $9,549.93 | $14,454.40 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $1,258.93 Typical High $1,862.09 | Facility | None | $426.58 | $1,258.93 | $1,862.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $758.58 Median $812.83 Typical High $954.99 | Professional | None (both parts) | $758.58 | $812.83 | $954.99 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $1,659.59 Typical High $2,187.76 | Facility | None | $912.01 | $1,659.59 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $426.58 Median $537.03 Typical High $645.65 | Professional | None (both parts) | $426.58 | $537.03 | $645.65 |
United Setting Professional Modifier None (both parts) Typical Low $275.42 Median $398.11 Typical High $794.33 | Professional | None (both parts) | $275.42 | $398.11 | $794.33 |
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 $501.19 Median $549.54 Typical High $549.54 | Professional | 26 · Professional part | $501.19 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $251.19 Median $269.15 Typical High $281.84 | Professional | 52 · Reduced service | $251.19 | $269.15 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $109.65 Typical High $112.20 | Professional | 53 · Discontinued | $100.00 | $109.65 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | TC · Technical part | $549.54 | $549.54 | $549.54 |
Where Indiana sits
The same service costs 114.8 times more in Wisconsin 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· 48th of 51
$295
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.