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 $2,951.21 Median $6,606.93 Typical High $13,182.57 | Facility | None | $2,951.21 | $6,606.93 | $13,182.57 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,691.53 Median $2,951.21 Typical High $3,019.95 | Professional | None (both parts) | $2,691.53 | $2,951.21 | $3,019.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,630.78 Median $7,244.36 Typical High $10,715.19 | Facility | None | $3,630.78 | $7,244.36 | $10,715.19 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,445.44 Typical High $3,981.07 | Professional | None (both parts) | $1,230.27 | $1,445.44 | $3,981.07 |
CareSource Setting Facility Modifier None Typical Low $3,467.37 Median $52,480.75 Typical High $77,624.71 | Facility | None | $3,467.37 | $52,480.75 | $77,624.71 |
Cigna Setting Facility Modifier None Typical Low $2,344.23 Median $6,760.83 Typical High $10,232.93 | Facility | None | $2,344.23 | $6,760.83 | $10,232.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $4,168.69 Median $4,365.16 Typical High $10,715.19 | Professional | None (both parts) | $4,168.69 | $4,365.16 | $10,715.19 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $5,370.32 Median $8,912.51 Typical High $11,481.54 | Facility | None | $5,370.32 | $8,912.51 | $11,481.54 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $3,090.30 Median $3,090.30 Typical High $3,162.28 | Professional | None (both parts) | $3,090.30 | $3,090.30 | $3,162.28 |
United Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $2,137.96 Typical High $4,365.16 | Professional | None (both parts) | $1,513.56 | $2,137.96 | $4,365.16 |
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 $2,691.53 Median $2,951.21 Typical High $3,019.95 | Professional | 26 · Professional part | $2,691.53 | $2,951.21 | $3,019.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,348.96 Median $1,479.11 Typical High $1,513.56 | Professional | 52 · Reduced service | $1,348.96 | $1,479.11 | $1,513.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $537.03 Median $588.84 Typical High $602.56 | Professional | 53 · Discontinued | $537.03 | $588.84 | $602.56 |
Where Indiana sits
The same service costs 8.9 times more in Texas than in New Mexico. 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· 45th of 51
$2,138
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.