How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 Professional Modifier None (both parts) Typical Low $32.36 Median $48.98 Typical High $61.66 | Professional | None (both parts) | $32.36 | $48.98 | $61.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $44.67 Median $114.82 Typical High $151.36 | Facility | None | $44.67 | $114.82 | $151.36 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $36.31 Median $44.67 Typical High $67.61 | Professional | None (both parts) | $36.31 | $44.67 | $67.61 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None (both parts) | $60.26 | $60.26 | $60.26 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $954.99 Typical High $2,187.76 | Facility | None | $912.01 | $954.99 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None (both parts) | $77.62 | $77.62 | $77.62 |
United Setting Professional Modifier None (both parts) Typical Low $48.98 Median $67.61 Typical High $102.33 | Professional | None (both parts) | $48.98 | $67.61 | $102.33 |
5 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 Facility Modifier 53 · Discontinued Typical Low $7.24 Median $7.24 Typical High $7.24 | Facility | 53 · Discontinued | $7.24 | $7.24 | $7.24 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | 26 · Professional part | $36.31 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.85 Median $18.20 Typical High $25.12 | Professional | 52 · Reduced service | $15.85 | $18.20 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $7.24 Typical High $10.23 | Professional | 53 · Discontinued | $6.46 | $7.24 | $10.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | TC · Technical part | $36.31 | $36.31 | $36.31 |
Where Indiana sits
The same service costs 6.9 times more in Alaska than in New York. 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
$44.67
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.