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 $190.55 Median $870.96 Typical High $1,174.90 | Facility | None | $190.55 | $870.96 | $1,174.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $190.55 Typical High $208.93 | Professional | None (both parts) | $162.18 | $190.55 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $29.51 Typical High $30.90 | Professional | 26 · Professional part | $26.92 | $29.51 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $162.18 Typical High $173.78 | Professional | TC · Technical part | $134.90 | $162.18 | $173.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $134.90 Median $812.83 Typical High $1,621.81 | Facility | None | $134.90 | $812.83 | $1,621.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $114.82 Median $134.90 Typical High $208.93 | Professional | None (both parts) | $114.82 | $134.90 | $208.93 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $44.67 Typical High $60.26 | Professional | 26 · Professional part | $29.51 | $44.67 | $60.26 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $91.20 Typical High $173.78 | Professional | TC · Technical part | $77.62 | $91.20 | $173.78 |
CareSource Setting Facility Modifier None Typical Low $33.11 Median $165.96 Typical High $199.53 | Facility | None | $33.11 | $165.96 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $549.54 Typical High $691.83 | Facility | None | $269.15 | $549.54 | $691.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $213.80 Typical High $363.08 | Professional | None (both parts) | $154.88 | $213.80 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $39.81 Typical High $67.61 | Professional | 26 · Professional part | $30.20 | $39.81 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $165.96 Typical High $346.74 | Professional | TC · Technical part | $109.65 | $165.96 | $346.74 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $575.44 Median $912.01 Typical High $2,137.96 | Facility | None | $575.44 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $194.98 Median $257.04 Typical High $398.11 | Professional | None (both parts) | $194.98 | $257.04 | $398.11 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $38.90 Typical High $58.88 | Professional | 26 · Professional part | $30.90 | $38.90 | $58.88 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $213.80 Typical High $338.84 | Professional | TC · Technical part | $169.82 | $213.80 | $338.84 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $269.15 Typical High $478.63 | Professional | None (both parts) | $173.78 | $269.15 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $40.74 Typical High $72.44 | Professional | 26 · Professional part | $28.84 | $40.74 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $223.87 Typical High $407.38 | Professional | TC · Technical part | $144.54 | $223.87 | $407.38 |
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 $81.28 Median $95.50 Typical High $104.71 | Professional | 52 · Reduced service | $81.28 | $95.50 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $38.90 Typical High $41.69 | Professional | 53 · Discontinued | $32.36 | $38.90 | $41.69 |
Where Indiana sits
The same service costs 4.9 times more in Alaska 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· 48th of 51
$191
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.