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 $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $251.19 Typical High $281.84 | Facility | None | $144.54 | $251.19 | $281.84 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $173.78 Median $954.99 Typical High $2,187.76 | Facility | None | $173.78 | $954.99 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | None (both parts) | $0.02 | $0.02 | $0.02 |
United Setting Professional Modifier None (both parts) Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | None (both parts) | $9.77 | $9.77 | $9.77 |
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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | TC · Technical part | $186.21 | $186.21 | $186.21 |
Where Indiana sits
The same service costs 14.5 times more in New Hampshire than in Kentucky. 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· 12th of 49
$251
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.