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 $1,737.80 Median $7,762.47 Typical High $7,762.47 | Facility | None | $1,737.80 | $7,762.47 | $7,762.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,584.89 Median $1,737.80 Typical High $1,778.28 | Professional | None (both parts) | $1,584.89 | $1,737.80 | $1,778.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $4,265.80 Typical High $6,309.57 | Facility | None | $2,137.96 | $4,265.80 | $6,309.57 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $17.38 Median $20.42 Typical High $2,344.23 | Professional | None (both parts) | $17.38 | $20.42 | $2,344.23 |
CareSource Setting Facility Modifier None Typical Low $2,041.74 Median $30,902.95 Typical High $46,773.51 | Facility | None | $2,041.74 | $30,902.95 | $46,773.51 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $3,981.07 Typical High $6,025.60 | Facility | None | $1,380.38 | $3,981.07 | $6,025.60 |
Cigna Setting Professional Modifier None (both parts) Typical Low $2,454.71 Median $2,630.27 Typical High $6,456.54 | Professional | None (both parts) | $2,454.71 | $2,630.27 | $6,456.54 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $3,162.28 Median $5,370.32 Typical High $6,760.83 | Facility | None | $3,162.28 | $5,370.32 | $6,760.83 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $1,819.70 Median $1,819.70 Typical High $1,862.09 | Professional | None (both parts) | $1,819.70 | $1,819.70 | $1,862.09 |
United Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,288.25 Typical High $2,570.40 | Professional | None (both parts) | $891.25 | $1,288.25 | $2,570.40 |
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 $1,584.89 Median $1,737.80 Typical High $1,778.28 | Professional | 26 · Professional part | $1,584.89 | $1,737.80 | $1,778.28 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $794.33 Median $870.96 Typical High $891.25 | Professional | 52 · Reduced service | $794.33 | $870.96 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $316.23 Median $346.74 Typical High $354.81 | Professional | 53 · Discontinued | $316.23 | $346.74 | $354.81 |
Where Indiana sits
The same service costs 229.1 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
$891
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.