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 $323.59 Median $724.44 Typical High $1,445.44 | Facility | None | $323.59 | $724.44 | $1,445.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $331.13 | Professional | None (both parts) | $323.59 | $323.59 | $331.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $389.05 Median $776.25 Typical High $1,174.90 | Facility | None | $389.05 | $776.25 | $1,174.90 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $5.25 Median $6.46 Typical High $389.05 | Professional | None (both parts) | $5.25 | $6.46 | $389.05 |
CareSource Setting Facility Modifier None Typical Low $380.19 Median $5,623.41 Typical High $8,709.64 | Facility | None | $380.19 | $5,623.41 | $8,709.64 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $741.31 Typical High $1,096.48 | Facility | None | $251.19 | $741.31 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $478.63 Typical High $562.34 | Professional | None (both parts) | $446.68 | $478.63 | $562.34 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $588.84 Median $977.24 Typical High $1,230.27 | Facility | None | $588.84 | $977.24 | $1,230.27 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $331.13 Median $331.13 Typical High $338.84 | Professional | None (both parts) | $331.13 | $331.13 | $338.84 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $234.42 Typical High $467.74 | Professional | None (both parts) | $165.96 | $234.42 | $467.74 |
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 $295.12 Median $323.59 Typical High $331.13 | Professional | 26 · Professional part | $295.12 | $323.59 | $331.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $147.91 Median $158.49 Typical High $165.96 | Professional | 52 · Reduced service | $147.91 | $158.49 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $64.57 Typical High $66.07 | Professional | 53 · Discontinued | $58.88 | $64.57 | $66.07 |
Where Indiana sits
The same service costs 134.9 times more in Alaska than in Kentucky. 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
$166
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.