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 $645.65 Median $1,479.11 Typical High $2,951.21 | Facility | None | $645.65 | $1,479.11 | $2,951.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $645.65 Median $645.65 Typical High $660.69 | Professional | None (both parts) | $645.65 | $645.65 | $660.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $794.33 Median $1,584.89 Typical High $2,398.83 | Facility | None | $794.33 | $1,584.89 | $2,398.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $204.17 Median $239.88 Typical High $870.96 | Professional | None (both parts) | $204.17 | $239.88 | $870.96 |
CareSource Setting Facility Modifier None Typical Low $776.25 Median $11,481.54 Typical High $17,378.01 | Facility | None | $776.25 | $11,481.54 | $17,378.01 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,513.56 Typical High $2,238.72 | Facility | None | $512.86 | $1,513.56 | $2,238.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $912.01 Median $977.24 Typical High $2,398.83 | Professional | None (both parts) | $912.01 | $977.24 | $2,398.83 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $1,995.26 Typical High $2,398.83 | Facility | None | $912.01 | $1,995.26 | $2,398.83 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $512.86 Median $676.08 Typical High $1,202.26 | Professional | None (both parts) | $512.86 | $676.08 | $1,202.26 |
United Setting Professional Modifier None (both parts) Typical Low $331.13 Median $478.63 Typical High $954.99 | Professional | None (both parts) | $331.13 | $478.63 | $954.99 |
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 $602.56 Median $645.65 Typical High $645.65 | Professional | 26 · Professional part | $602.56 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $295.12 Median $323.59 Typical High $331.13 | Professional | 52 · Reduced service | $295.12 | $323.59 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $128.82 Typical High $134.90 | Professional | 53 · Discontinued | $120.23 | $128.82 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | TC · Technical part | $645.65 | $645.65 | $645.65 |
Where Indiana sits
The same service costs 12.0 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· 48th of 51
$457
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.