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 $616.60 Median $1,380.38 Typical High $2,754.23 | Facility | None | $616.60 | $1,380.38 | $2,754.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $562.34 Median $616.60 Typical High $630.96 | Professional | None (both parts) | $562.34 | $616.60 | $630.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $758.58 Median $1,513.56 Typical High $2,238.72 | Facility | None | $758.58 | $1,513.56 | $2,238.72 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $288.40 Median $338.84 Typical High $831.76 | Professional | None (both parts) | $288.40 | $338.84 | $831.76 |
CareSource Setting Facility Modifier None Typical Low $724.44 Median $10,964.78 Typical High $16,595.87 | Facility | None | $724.44 | $10,964.78 | $16,595.87 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $1,412.54 Typical High $2,137.96 | Facility | None | $489.78 | $1,412.54 | $2,137.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $870.96 Median $912.01 Typical High $1,071.52 | Professional | None (both parts) | $870.96 | $912.01 | $1,071.52 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $1,122.02 Median $1,862.09 Typical High $2,398.83 | Facility | None | $1,122.02 | $1,862.09 | $2,398.83 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $630.96 Median $630.96 Typical High $645.65 | Professional | None (both parts) | $630.96 | $630.96 | $645.65 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $446.68 Typical High $891.25 | Professional | None (both parts) | $316.23 | $446.68 | $891.25 |
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 $562.34 Median $616.60 Typical High $630.96 | Professional | 26 · Professional part | $562.34 | $616.60 | $630.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $281.84 Median $309.03 Typical High $316.23 | Professional | 52 · Reduced service | $281.84 | $309.03 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $123.03 Typical High $128.82 | Professional | 53 · Discontinued | $112.20 | $123.03 | $128.82 |
Where Indiana sits
The same service costs 26.9 times more in Alaska 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· 44th 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.