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 $181.97 Median $870.96 Typical High $1,174.90 | Facility | None | $181.97 | $870.96 | $1,174.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $181.97 Typical High $218.78 | Professional | None (both parts) | $162.18 | $181.97 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $23.99 Typical High $25.70 | Professional | 26 · Professional part | $22.39 | $23.99 | $25.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $158.49 Typical High $169.82 | Professional | TC · Technical part | $141.25 | $158.49 | $169.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $112.20 Median $891.25 Typical High $1,621.81 | Facility | None | $112.20 | $891.25 | $1,621.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $95.50 Median $112.20 Typical High $213.80 | Professional | None (both parts) | $95.50 | $112.20 | $213.80 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $37.15 Typical High $52.48 | Professional | 26 · Professional part | $26.30 | $37.15 | $52.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $75.86 Typical High $194.98 | Professional | TC · Technical part | $64.57 | $75.86 | $194.98 |
CareSource Setting Facility Modifier None Typical Low $27.54 Median $169.82 Typical High $199.53 | Facility | None | $27.54 | $169.82 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $562.34 Typical High $707.95 | Facility | None | $269.15 | $562.34 | $707.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $204.17 Typical High $371.54 | Professional | None (both parts) | $128.82 | $204.17 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $33.88 Typical High $57.54 | Professional | 26 · Professional part | $25.70 | $33.88 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $173.78 Typical High $363.08 | Professional | TC · Technical part | $91.20 | $173.78 | $363.08 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $616.60 Median $912.01 Typical High $2,137.96 | Facility | None | $616.60 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $194.98 Median $251.19 Typical High $398.11 | Professional | None (both parts) | $194.98 | $251.19 | $398.11 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $32.36 Typical High $50.12 | Professional | 26 · Professional part | $26.30 | $32.36 | $50.12 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $223.87 Typical High $346.74 | Professional | TC · Technical part | $173.78 | $223.87 | $346.74 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $263.03 Typical High $457.09 | Professional | None (both parts) | $173.78 | $263.03 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $33.88 Typical High $60.26 | Professional | 26 · Professional part | $23.99 | $33.88 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $229.09 Typical High $398.11 | Professional | TC · Technical part | $147.91 | $229.09 | $398.11 |
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 $81.28 Median $91.20 Typical High $100.00 | Professional | 52 · Reduced service | $81.28 | $91.20 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $36.31 Typical High $39.81 | Professional | 53 · Discontinued | $32.36 | $36.31 | $39.81 |
Where Indiana sits
The same service costs 4.8 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
$178
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.