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 $4,073.80 Median $18,620.87 Typical High $18,620.87 | Facility | None | $4,073.80 | $18,620.87 | $18,620.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $3,715.35 Median $4,073.80 Typical High $4,265.80 | Professional | None (both parts) | $3,715.35 | $4,073.80 | $4,265.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,011.87 Median $10,000.00 Typical High $15,135.61 | Facility | None | $5,011.87 | $10,000.00 | $15,135.61 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,698.24 Median $1,995.26 Typical High $5,495.41 | Professional | None (both parts) | $1,698.24 | $1,995.26 | $5,495.41 |
CareSource Setting Facility Modifier None Typical Low $4,365.16 Median $7,943.28 Typical High $109,647.82 | Facility | None | $4,365.16 | $7,943.28 | $109,647.82 |
Cigna Setting Facility Modifier None Typical Low $3,235.94 Median $9,549.93 Typical High $14,125.38 | Facility | None | $3,235.94 | $9,549.93 | $14,125.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $5,754.40 Median $6,165.95 Typical High $15,135.61 | Professional | None (both parts) | $5,754.40 | $6,165.95 | $15,135.61 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $7,585.78 Typical High $15,135.61 | Facility | None | $912.01 | $7,585.78 | $15,135.61 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $3,235.94 Median $4,168.69 Typical High $5,011.87 | Professional | None (both parts) | $3,235.94 | $4,168.69 | $5,011.87 |
United Setting Professional Modifier None (both parts) Typical Low $2,089.30 Median $3,019.95 Typical High $6,025.60 | Professional | None (both parts) | $2,089.30 | $3,019.95 | $6,025.60 |
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 $3,715.35 Median $4,073.80 Typical High $4,073.80 | Professional | 26 · Professional part | $3,715.35 | $4,073.80 | $4,073.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,862.09 Median $2,041.74 Typical High $2,137.96 | Professional | 52 · Reduced service | $1,862.09 | $2,041.74 | $2,137.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $758.58 Median $812.83 Typical High $851.14 | Professional | 53 · Discontinued | $758.58 | $812.83 | $851.14 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $4,073.80 Median $4,073.80 Typical High $4,073.80 | Professional | TC · Technical part | $4,073.80 | $4,073.80 | $4,073.80 |
Where Indiana sits
The same service costs 12.0 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· 43rd of 51
$3,020
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.