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 $1,288.25 Median $5,011.87 Typical High $17,782.79 | Facility | None | $1,288.25 | $5,011.87 | $17,782.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,288.25 Typical High $1,479.11 | Professional | None (both parts) | $1,122.02 | $1,288.25 | $1,479.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $354.81 Typical High $426.58 | Professional | 26 · Professional part | $338.84 | $354.81 | $426.58 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $933.25 Typical High $1,071.52 | Professional | TC · Technical part | $776.25 | $933.25 | $1,071.52 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,258.93 Median $7,762.47 Typical High $19,952.62 | Facility | None | $1,258.93 | $7,762.47 | $19,952.62 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,096.48 Typical High $2,187.76 | Professional | None (both parts) | $933.25 | $1,096.48 | $2,187.76 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $501.19 Typical High $676.08 | Professional | 26 · Professional part | $316.23 | $501.19 | $676.08 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $1,202.26 Typical High $1,584.89 | Professional | TC · Technical part | $794.33 | $1,202.26 | $1,584.89 |
CareSource Setting Facility Modifier None Typical Low $354.81 Median $776.25 Typical High $1,122.02 | Facility | None | $354.81 | $776.25 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $1,995.26 Median $3,019.95 Typical High $4,786.30 | Facility | None | $1,995.26 | $3,019.95 | $4,786.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $1,659.59 Typical High $2,454.71 | Professional | None (both parts) | $1,318.26 | $1,659.59 | $2,454.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $512.86 Typical High $660.69 | Professional | 26 · Professional part | $354.81 | $512.86 | $660.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $977.24 Median $1,148.15 Typical High $1,584.89 | Professional | TC · Technical part | $977.24 | $1,148.15 | $1,584.89 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $3,019.95 Typical High $4,265.80 | Facility | None | $912.01 | $3,019.95 | $4,265.80 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,584.89 Typical High $2,137.96 | Professional | None (both parts) | $1,288.25 | $1,584.89 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $457.09 Typical High $602.56 | Professional | 26 · Professional part | $363.08 | $457.09 | $602.56 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $1,148.15 Typical High $1,513.56 | Professional | TC · Technical part | $912.01 | $1,148.15 | $1,513.56 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $4,570.88 Typical High $12,022.64 | Facility | None | $1,230.27 | $4,570.88 | $12,022.64 |
United Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,659.59 Typical High $2,511.89 | Professional | None (both parts) | $1,174.90 | $1,659.59 | $2,511.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $478.63 Typical High $758.58 | Professional | 26 · Professional part | $331.13 | $478.63 | $758.58 |
United Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $1,148.15 Typical High $1,778.28 | Professional | TC · Technical part | $831.76 | $1,148.15 | $1,778.28 |
1 more rate 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 54 · Surgery only Typical Low $851.14 Median $954.99 Typical High $1,096.48 | Professional | 54 · Surgery only | $851.14 | $954.99 | $1,096.48 |
Where Indiana sits
The same service costs 3.9 times more in Wisconsin than in New York. 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· 21st of 51
$1,995
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.