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 Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Aetna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $46.77 Typical High $66.07 | Professional | None (both parts) | $40.74 | $46.77 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $28.18 Typical High $39.81 | Professional | 26 · Professional part | $23.99 | $28.18 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $18.20 Typical High $25.70 | Professional | TC · Technical part | $16.60 | $18.20 | $25.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $77.62 Median $114.82 Typical High $151.36 | Facility | None | $77.62 | $114.82 | $151.36 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $63.10 Median $77.62 Typical High $120.23 | Professional | None (both parts) | $63.10 | $77.62 | $120.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $34.67 Typical High $44.67 | Professional | 26 · Professional part | $28.84 | $34.67 | $44.67 |
CareSource Setting Facility Modifier None Typical Low $72.44 Median $660.69 Typical High $1,621.81 | Facility | None | $72.44 | $660.69 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None (both parts) | $102.33 | $102.33 | $102.33 |
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 |
United Setting Professional Modifier None (both parts) Typical Low $48.98 Median $69.18 Typical High $112.20 | Professional | None (both parts) | $48.98 | $69.18 | $112.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $41.69 Typical High $67.61 | Professional | 26 · Professional part | $28.84 | $41.69 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $28.18 Typical High $44.67 | Professional | TC · Technical part | $19.50 | $28.18 | $44.67 |
2 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 52 · Reduced service Typical Low $20.42 Median $23.44 Typical High $33.11 | Professional | 52 · Reduced service | $20.42 | $23.44 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $9.33 Typical High $13.18 | Professional | 53 · Discontinued | $8.13 | $9.33 | $13.18 |
Where Indiana sits
The same service costs 14.8 times more in Texas than in Arkansas. 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· 17th of 51
$77.62
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.