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 $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
Aetna Setting Professional Modifier None (both parts) Typical Low $812.83 Median $851.14 Typical High $933.25 | Professional | None (both parts) | $812.83 | $851.14 | $933.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $114.82 Typical High $125.89 | Professional | 26 · Professional part | $114.82 | $114.82 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $724.44 Typical High $812.83 | Professional | TC · Technical part | $707.95 | $724.44 | $812.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $891.25 Median $2,818.38 Typical High $3,801.89 | Facility | None | $891.25 | $2,818.38 | $3,801.89 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $741.31 Median $891.25 Typical High $1,258.93 | Professional | None (both parts) | $741.31 | $891.25 | $1,258.93 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $117.49 Typical High $165.96 | Professional | 26 · Professional part | $100.00 | $117.49 | $165.96 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $758.58 Typical High $1,071.52 | Professional | TC · Technical part | $645.65 | $758.58 | $1,071.52 |
CareSource Setting Facility Modifier None Typical Low $123.03 Median $691.83 Typical High $812.83 | Facility | None | $123.03 | $691.83 | $812.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,071.52 Typical High $1,513.56 | Professional | None (both parts) | $912.01 | $1,071.52 | $1,513.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $138.04 Typical High $199.53 | Professional | 26 · Professional part | $123.03 | $138.04 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $954.99 Typical High $1,318.26 | Professional | TC · Technical part | $776.25 | $954.99 | $1,318.26 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $954.99 Typical High $2,754.23 | Facility | None | $912.01 | $954.99 | $2,754.23 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,148.15 Typical High $1,698.24 | Professional | None (both parts) | $954.99 | $1,148.15 | $1,698.24 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $158.49 Typical High $234.42 | Professional | 26 · Professional part | $131.83 | $158.49 | $234.42 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $1,000.00 Typical High $1,479.11 | Professional | TC · Technical part | $812.83 | $1,000.00 | $1,479.11 |
United Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,096.48 Typical High $1,737.80 | Professional | None (both parts) | $891.25 | $1,096.48 | $1,737.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $138.04 Typical High $223.87 | Professional | 26 · Professional part | $112.20 | $138.04 | $223.87 |
United Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $933.25 Typical High $1,513.56 | Professional | TC · Technical part | $776.25 | $933.25 | $1,513.56 |
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 $407.38 Median $416.87 Typical High $467.74 | Professional | 52 · Reduced service | $407.38 | $416.87 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $169.82 Typical High $186.21 | Professional | 53 · Discontinued | $162.18 | $169.82 | $186.21 |
Where Indiana sits
The same service costs 3.2 times more in Alaska than in Utah. 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· 45th of 51
$912
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.