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 $186.21 Median $186.21 Typical High $257.04 | Facility | None | $186.21 | $186.21 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $257.04 | Professional | None (both parts) | $186.21 | $186.21 | $257.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $354.81 | Facility | None | $269.15 | $269.15 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $251.19 Typical High $281.84 | Facility | None | $144.54 | $251.19 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | None (both parts) | $16.60 | $16.60 | $16.60 |
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 $398.11 Median $398.11 Typical High $398.11 | Professional | None (both parts) | $398.11 | $398.11 | $398.11 |
1 more rate 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 |
|---|---|---|---|---|---|
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | 26 · Professional part | $0.02 | $0.02 | $0.02 |
Where Indiana sits
The same service costs 20.9 times more in New Hampshire than in Delaware. 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· 10th of 51
$269
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.