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 $281.84 Median $1,122.02 Typical High $1,548.82 | Facility | None | $281.84 | $1,122.02 | $1,548.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $281.84 Typical High $309.03 | Professional | None (both parts) | $234.42 | $281.84 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $26.92 Typical High $28.18 | Professional | 26 · Professional part | $23.99 | $26.92 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $251.19 Typical High $269.15 | Professional | TC · Technical part | $208.93 | $251.19 | $269.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $131.83 Median $1,174.90 Typical High $2,238.72 | Facility | None | $131.83 | $1,174.90 | $2,238.72 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $112.20 Median $131.83 Typical High $295.12 | Professional | None (both parts) | $112.20 | $131.83 | $295.12 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $41.69 Typical High $56.23 | Professional | 26 · Professional part | $26.92 | $41.69 | $56.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $89.13 Typical High $269.15 | Professional | TC · Technical part | $75.86 | $89.13 | $269.15 |
CareSource Setting Facility Modifier None Typical Low $29.51 Median $257.04 Typical High $288.40 | Facility | None | $29.51 | $257.04 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $851.14 Typical High $1,071.52 | Facility | None | $371.54 | $851.14 | $1,071.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $295.12 Typical High $660.69 | Professional | None (both parts) | $151.36 | $295.12 | $660.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $36.31 Typical High $63.10 | Professional | 26 · Professional part | $27.54 | $36.31 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $263.03 Typical High $562.34 | Professional | TC · Technical part | $109.65 | $263.03 | $562.34 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $831.76 Median $912.01 Typical High $2,137.96 | Facility | None | $831.76 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $281.84 Median $371.54 Typical High $575.44 | Professional | None (both parts) | $281.84 | $371.54 | $575.44 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $35.48 Typical High $52.48 | Professional | 26 · Professional part | $27.54 | $35.48 | $52.48 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $331.13 Typical High $524.81 | Professional | TC · Technical part | $257.04 | $331.13 | $524.81 |
United Setting Professional Modifier None (both parts) Typical Low $251.19 Median $398.11 Typical High $707.95 | Professional | None (both parts) | $251.19 | $398.11 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $38.02 Typical High $67.61 | Professional | 26 · Professional part | $26.92 | $38.02 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $354.81 Typical High $645.65 | Professional | TC · Technical part | $218.78 | $354.81 | $645.65 |
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 $117.49 Median $141.25 Typical High $154.88 | Professional | 52 · Reduced service | $117.49 | $141.25 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $56.23 Typical High $61.66 | Professional | 53 · Discontinued | $46.77 | $56.23 | $61.66 |
Where Indiana sits
The same service costs 4.9 times more in Alaska than in Indiana. 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· 51st of 51
$245
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.