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 $158.49 Median $870.96 Typical High $1,174.90 | Facility | None | $158.49 | $870.96 | $1,174.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $158.49 Typical High $177.83 | Professional | None (both parts) | $134.90 | $158.49 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $33.11 Typical High $35.48 | Professional | 26 · Professional part | $30.20 | $33.11 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $123.03 Typical High $138.04 | Professional | TC · Technical part | $102.33 | $123.03 | $138.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $131.83 Median $1,230.27 Typical High $2,818.38 | Facility | None | $131.83 | $1,230.27 | $2,818.38 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $112.20 Median $131.83 Typical High $204.17 | Professional | None (both parts) | $112.20 | $131.83 | $204.17 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $52.48 Typical High $70.79 | Professional | 26 · Professional part | $33.88 | $52.48 | $70.79 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $79.43 Typical High $138.04 | Professional | TC · Technical part | $67.61 | $79.43 | $138.04 |
CareSource Setting Facility Modifier None Typical Low $37.15 Median $125.89 Typical High $162.18 | Facility | None | $37.15 | $125.89 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $416.87 Typical High $537.03 | Facility | None | $269.15 | $416.87 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $204.17 Typical High $363.08 | Professional | None (both parts) | $141.25 | $204.17 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $45.71 Typical High $77.62 | Professional | 26 · Professional part | $34.67 | $45.71 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $147.91 Typical High $263.03 | Professional | TC · Technical part | $97.72 | $147.91 | $263.03 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $478.63 Median $912.01 Typical High $2,137.96 | Facility | None | $478.63 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $162.18 Median $208.93 Typical High $323.59 | Professional | None (both parts) | $162.18 | $208.93 | $323.59 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $43.65 Typical High $66.07 | Professional | 26 · Professional part | $34.67 | $43.65 | $66.07 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $165.96 Typical High $257.04 | Professional | TC · Technical part | $128.82 | $165.96 | $257.04 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $223.87 Typical High $398.11 | Professional | None (both parts) | $158.49 | $223.87 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $46.77 Typical High $83.18 | Professional | 26 · Professional part | $33.88 | $46.77 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $173.78 Typical High $309.03 | Professional | TC · Technical part | $123.03 | $173.78 | $309.03 |
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 $66.07 Median $77.62 Typical High $85.11 | Professional | 52 · Reduced service | $66.07 | $77.62 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $31.62 Typical High $33.88 | Professional | 53 · Discontinued | $26.92 | $31.62 | $33.88 |
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
$162
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.