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 $2,818.38 Median $6,309.57 Typical High $12,589.25 | Facility | None | $2,818.38 | $6,309.57 | $12,589.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,570.40 Median $2,818.38 Typical High $2,951.21 | Professional | None (both parts) | $2,570.40 | $2,818.38 | $2,951.21 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,467.37 Median $6,918.31 Typical High $10,232.93 | Facility | None | $3,467.37 | $6,918.31 | $10,232.93 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,548.82 Typical High $3,801.89 | Professional | None (both parts) | $1,230.27 | $1,548.82 | $3,801.89 |
CareSource Setting Facility Modifier None Typical Low $3,311.31 Median $50,118.72 Typical High $74,131.02 | Facility | None | $3,311.31 | $50,118.72 | $74,131.02 |
Cigna Setting Facility Modifier None Typical Low $2,238.72 Median $6,456.54 Typical High $9,772.37 | Facility | None | $2,238.72 | $6,456.54 | $9,772.37 |
Cigna Setting Professional Modifier None (both parts) Typical Low $3,981.07 Median $4,168.69 Typical High $10,232.93 | Professional | None (both parts) | $3,981.07 | $4,168.69 | $10,232.93 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $5,128.61 Median $8,511.38 Typical High $10,964.78 | Facility | None | $5,128.61 | $8,511.38 | $10,964.78 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $2,951.21 Median $2,951.21 Typical High $3,019.95 | Professional | None (both parts) | $2,951.21 | $2,951.21 | $3,019.95 |
United Setting Professional Modifier None (both parts) Typical Low $1,445.44 Median $2,041.74 Typical High $4,168.69 | Professional | None (both parts) | $1,445.44 | $2,041.74 | $4,168.69 |
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 $2,570.40 Median $2,818.38 Typical High $2,818.38 | Professional | 26 · Professional part | $2,570.40 | $2,818.38 | $2,818.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,288.25 Median $1,412.54 Typical High $1,479.11 | Professional | 52 · Reduced service | $1,288.25 | $1,412.54 | $1,479.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $512.86 Median $562.34 Typical High $588.84 | Professional | 53 · Discontinued | $512.86 | $562.34 | $588.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Professional | TC · Technical part | $2,818.38 | $2,818.38 | $2,818.38 |
Where Indiana sits
The same service costs 35.5 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· 48th of 51
$2,042
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.