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 $2,187.76 Median $2,187.76 Typical High $4,897.79 | Facility | None | $2,187.76 | $2,187.76 | $4,897.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,137.96 Median $2,187.76 Typical High $2,290.87 | Professional | None (both parts) | $2,137.96 | $2,187.76 | $2,290.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,630.27 Median $5,248.07 Typical High $7,943.28 | Facility | None | $2,630.27 | $5,248.07 | $7,943.28 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $11.22 Median $13.18 Typical High $2,884.03 | Professional | None (both parts) | $11.22 | $13.18 | $2,884.03 |
CareSource Setting Facility Modifier None Typical Low $2,570.40 Median $38,904.51 Typical High $57,543.99 | Facility | None | $2,570.40 | $38,904.51 | $57,543.99 |
Cigna Setting Facility Modifier None Typical Low $1,737.80 Median $5,011.87 Typical High $7,585.78 | Facility | None | $1,737.80 | $5,011.87 | $7,585.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $3,019.95 Median $3,235.94 Typical High $7,943.28 | Professional | None (both parts) | $3,019.95 | $3,235.94 | $7,943.28 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $3,981.07 Median $6,606.93 Typical High $8,317.64 | Facility | None | $3,981.07 | $6,606.93 | $8,317.64 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $2,238.72 Median $2,238.72 Typical High $2,290.87 | Professional | None (both parts) | $2,238.72 | $2,238.72 | $2,290.87 |
United Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,584.89 Typical High $3,162.28 | Professional | None (both parts) | $1,122.02 | $1,584.89 | $3,162.28 |
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 $1,995.26 Median $2,187.76 Typical High $2,187.76 | Professional | 26 · Professional part | $1,995.26 | $2,187.76 | $2,187.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,000.00 Median $1,096.48 Typical High $1,148.15 | Professional | 52 · Reduced service | $1,000.00 | $1,096.48 | $1,148.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $398.11 Median $436.52 Typical High $457.09 | Professional | 53 · Discontinued | $398.11 | $436.52 | $457.09 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Professional | TC · Technical part | $2,187.76 | $2,187.76 | $2,187.76 |
Where Indiana sits
The same service costs 31.6 times more in Texas than in Ohio. 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
$1,122
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.