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 $194.98 Median $269.15 Typical High $1,548.82 | Facility | None | $194.98 | $269.15 | $1,548.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $194.98 Typical High $218.78 | Professional | None (both parts) | $165.96 | $194.98 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $40.74 Typical High $42.66 | Professional | 26 · Professional part | $37.15 | $40.74 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $154.88 Typical High $173.78 | Professional | TC · Technical part | $128.82 | $154.88 | $173.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 26 · Professional part | $52.48 | $52.48 | $52.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $218.78 Median $831.76 Typical High $2,238.72 | Facility | None | $218.78 | $831.76 | $2,238.72 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $186.21 Median $218.78 Typical High $338.84 | Professional | None (both parts) | $186.21 | $218.78 | $338.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $63.10 Typical High $85.11 | Professional | 26 · Professional part | $41.69 | $63.10 | $85.11 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $158.49 Typical High $245.47 | Professional | TC · Technical part | $134.90 | $158.49 | $245.47 |
CareSource Setting Facility Modifier None Typical Low $45.71 Median $158.49 Typical High $204.17 | Facility | None | $45.71 | $158.49 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $524.81 Typical High $660.69 | Facility | None | $371.54 | $524.81 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $281.84 Typical High $478.63 | Professional | None (both parts) | $218.78 | $281.84 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $54.95 Typical High $95.50 | Professional | 26 · Professional part | $42.66 | $54.95 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $204.17 Typical High $354.81 | Professional | TC · Technical part | $162.18 | $204.17 | $354.81 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $588.84 Median $912.01 Typical High $2,137.96 | Facility | None | $588.84 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $199.53 Median $257.04 Typical High $398.11 | Professional | None (both parts) | $199.53 | $257.04 | $398.11 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $53.70 Typical High $81.28 | Professional | 26 · Professional part | $42.66 | $53.70 | $81.28 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $204.17 Typical High $323.59 | Professional | TC · Technical part | $158.49 | $204.17 | $323.59 |
United Setting Professional Modifier None (both parts) Typical Low $204.17 Median $288.40 Typical High $489.78 | Professional | None (both parts) | $204.17 | $288.40 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $57.54 Typical High $102.33 | Professional | 26 · Professional part | $40.74 | $57.54 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $229.09 Typical High $389.05 | Professional | TC · Technical part | $162.18 | $229.09 | $389.05 |
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 $83.18 Median $97.72 Typical High $104.71 | Professional | 52 · Reduced service | $83.18 | $97.72 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $38.90 Typical High $42.66 | Professional | 53 · Discontinued | $33.11 | $38.90 | $42.66 |
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· 46th of 51
$219
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.