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 $331.13 Median $398.11 Typical High $1,174.90 | Facility | None | $331.13 | $398.11 | $1,174.90 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $245.47 Median $295.12 Typical High $363.08 | Facility | TC · Technical part | $245.47 | $295.12 | $363.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $288.40 Typical High $354.81 | Professional | None (both parts) | $245.47 | $288.40 | $354.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $42.66 Typical High $48.98 | Professional | 26 · Professional part | $38.90 | $42.66 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $245.47 Typical High $275.42 | Professional | TC · Technical part | $204.17 | $245.47 | $275.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $234.42 Median $1,230.27 Typical High $1,621.81 | Facility | None | $234.42 | $1,230.27 | $1,621.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $234.42 Typical High $363.08 | Professional | None (both parts) | $199.53 | $234.42 | $363.08 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $64.57 Typical High $87.10 | Professional | 26 · Professional part | $43.65 | $64.57 | $87.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $169.82 Typical High $269.15 | Professional | TC · Technical part | $144.54 | $169.82 | $269.15 |
CareSource Setting Facility Modifier None Typical Low $47.86 Median $251.19 Typical High $295.12 | Facility | None | $47.86 | $251.19 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $549.54 Typical High $831.76 | Facility | None | $275.42 | $549.54 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $371.54 Typical High $575.44 | Professional | None (both parts) | $263.03 | $371.54 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $57.54 Typical High $100.00 | Professional | 26 · Professional part | $43.65 | $57.54 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $275.42 Typical High $549.54 | Professional | TC · Technical part | $208.93 | $275.42 | $549.54 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $870.96 Median $912.01 Typical High $2,137.96 | Facility | None | $870.96 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $295.12 Median $380.19 Typical High $588.84 | Professional | None (both parts) | $295.12 | $380.19 | $588.84 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $56.23 Typical High $85.11 | Professional | 26 · Professional part | $44.67 | $56.23 | $85.11 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $323.59 Typical High $512.86 | Professional | TC · Technical part | $251.19 | $323.59 | $512.86 |
United Setting Professional Modifier None (both parts) Typical Low $281.84 Median $416.87 Typical High $741.31 | Professional | None (both parts) | $281.84 | $416.87 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $60.26 Typical High $107.15 | Professional | 26 · Professional part | $42.66 | $60.26 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $354.81 Typical High $630.96 | Professional | TC · Technical part | $234.42 | $354.81 | $630.96 |
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 $120.23 Median $144.54 Typical High $158.49 | Professional | 52 · Reduced service | $120.23 | $144.54 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $57.54 Typical High $63.10 | Professional | 53 · Discontinued | $48.98 | $57.54 | $63.10 |
Where Indiana sits
The same service costs 3.8 times more in Alaska than in Florida. 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
$288
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.