How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $263.03 Median $371.54 Typical High $870.96 | Facility | None | $263.03 | $371.54 | $870.96 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $34.67 Median $45.71 Typical High $58.88 | Facility | 26 · Professional part | $34.67 | $45.71 | $58.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $229.09 Median $288.40 Typical High $398.11 | Facility | TC · Technical part | $229.09 | $288.40 | $398.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $275.42 Typical High $467.74 | Professional | None (both parts) | $229.09 | $275.42 | $467.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $34.67 Typical High $58.88 | Professional | 26 · Professional part | $30.90 | $34.67 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $239.88 Typical High $398.11 | Professional | TC · Technical part | $204.17 | $239.88 | $398.11 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $51.29 | Professional | 26 · Professional part | $34.67 | $34.67 | $51.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $194.98 Median $1,174.90 Typical High $1,621.81 | Facility | None | $194.98 | $1,174.90 | $1,621.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $165.96 Median $194.98 Typical High $302.00 | Professional | None (both parts) | $165.96 | $194.98 | $302.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $51.29 Typical High $69.18 | Professional | 26 · Professional part | $34.67 | $51.29 | $69.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $144.54 Typical High $257.04 | Professional | TC · Technical part | $123.03 | $144.54 | $257.04 |
CareSource Setting Facility Modifier None Typical Low $38.02 Median $245.47 Typical High $281.84 | Facility | None | $38.02 | $245.47 | $281.84 |
CareSource Setting Professional Modifier None (both parts) Typical Low $33.88 Median $229.09 Typical High $302.00 | Professional | None (both parts) | $33.88 | $229.09 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $794.33 Typical High $1,023.29 | Facility | None | $269.15 | $794.33 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $316.23 Typical High $524.81 | Professional | None (both parts) | $229.09 | $316.23 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $45.71 Typical High $81.28 | Professional | 26 · Professional part | $35.48 | $45.71 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $229.09 Typical High $478.63 | Professional | TC · Technical part | $177.83 | $229.09 | $478.63 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $812.83 Median $912.01 Typical High $2,137.96 | Facility | None | $812.83 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $275.42 Median $363.08 Typical High $562.34 | Professional | None (both parts) | $275.42 | $363.08 | $562.34 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $45.71 Typical High $67.61 | Professional | 26 · Professional part | $35.48 | $45.71 | $67.61 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $316.23 Typical High $489.78 | Professional | TC · Technical part | $245.47 | $316.23 | $489.78 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $380.19 Typical High $707.95 | Professional | None (both parts) | $234.42 | $380.19 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $47.86 Typical High $85.11 | Professional | 26 · Professional part | $33.88 | $47.86 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $331.13 Typical High $616.60 | Professional | TC · Technical part | $199.53 | $331.13 | $616.60 |
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 $114.82 Median $138.04 Typical High $151.36 | Professional | 52 · Reduced service | $114.82 | $138.04 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $54.95 Typical High $60.26 | Professional | 53 · Discontinued | $45.71 | $54.95 | $60.26 |
Where Indiana sits
The same service costs 3.5 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
$275
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.