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 $1,584.89 Median $1,584.89 Typical High $3,630.78 | Facility | None | $1,584.89 | $1,584.89 | $3,630.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $1,621.81 Typical High $4,265.80 | Professional | None (both parts) | $1,548.82 | $1,621.81 | $4,265.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $724.44 Median $794.33 Typical High $831.76 | Professional | 52 · Reduced service | $724.44 | $794.33 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $316.23 Typical High $338.84 | Professional | 53 · Discontinued | $295.12 | $316.23 | $338.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,949.84 Median $3,890.45 Typical High $5,888.44 | Facility | None | $1,949.84 | $3,890.45 | $5,888.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $1,548.82 Typical High $2,818.38 | Professional | None (both parts) | $1,318.26 | $1,548.82 | $2,818.38 |
CareSource Setting Facility Modifier None Typical Low $1,905.46 Median $28,183.83 Typical High $42,657.95 | Facility | None | $1,905.46 | $28,183.83 | $42,657.95 |
Cigna Setting Facility Modifier None Typical Low $1,258.93 Median $3,715.35 Typical High $5,495.41 | Facility | None | $1,258.93 | $3,715.35 | $5,495.41 |
Cigna Setting Professional Modifier None (both parts) Typical Low $2,238.72 Median $2,398.83 Typical High $5,888.44 | Professional | None (both parts) | $2,238.72 | $2,398.83 | $5,888.44 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $2,951.21 Median $4,897.79 Typical High $6,165.95 | Facility | None | $2,951.21 | $4,897.79 | $6,165.95 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $1,659.59 Median $1,659.59 Typical High $1,698.24 | Professional | None (both parts) | $1,659.59 | $1,659.59 | $1,698.24 |
United Setting Professional Modifier None (both parts) Typical Low $812.83 Median $1,174.90 Typical High $2,344.23 | Professional | None (both parts) | $812.83 | $1,174.90 | $2,344.23 |
2 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 $1,479.11 Median $1,584.89 Typical High $1,584.89 | Professional | 26 · Professional part | $1,479.11 | $1,584.89 | $1,584.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | TC · Technical part | $1,584.89 | $1,584.89 | $1,584.89 |
Where Indiana sits
The same service costs 16.6 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· 33rd of 51
$1,549
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.