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 $549.54 Median $2,290.87 Typical High $2,344.23 | Facility | None | $549.54 | $2,290.87 | $2,344.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $501.19 Median $549.54 Typical High $660.69 | Professional | None (both parts) | $501.19 | $549.54 | $660.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $87.10 Typical High $102.33 | Professional | 26 · Professional part | $81.28 | $87.10 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $467.74 Typical High $562.34 | Professional | TC · Technical part | $389.05 | $467.74 | $562.34 |
Anthem BCBS Setting Facility Modifier None Typical Low $588.84 Median $2,630.27 Typical High $3,548.13 | Facility | None | $588.84 | $2,630.27 | $3,548.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $478.63 Median $588.84 Typical High $691.83 | Professional | None (both parts) | $478.63 | $588.84 | $691.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $87.10 Typical High $117.49 | Professional | 26 · Professional part | $69.18 | $87.10 | $117.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $501.19 Typical High $676.08 | Professional | TC · Technical part | $398.11 | $501.19 | $676.08 |
CareSource Setting Facility Modifier None Typical Low $83.18 Median $389.05 Typical High $467.74 | Facility | None | $83.18 | $389.05 | $467.74 |
CareSource Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None (both parts) | $70.79 | $70.79 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,202.26 Typical High $5,495.41 | Facility | None | $645.65 | $1,202.26 | $5,495.41 |
Cigna Setting Professional Modifier None (both parts) Typical Low $562.34 Median $676.08 Typical High $2,454.71 | Professional | None (both parts) | $562.34 | $676.08 | $2,454.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $134.90 Typical High $630.96 | Professional | 26 · Professional part | $93.33 | $134.90 | $630.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $549.54 Typical High $2,089.30 | Professional | TC · Technical part | $436.52 | $549.54 | $2,089.30 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $1,445.44 Typical High $2,187.76 | Facility | None | $912.01 | $1,445.44 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $537.03 Median $691.83 Typical High $912.01 | Professional | None (both parts) | $537.03 | $691.83 | $912.01 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $114.82 Typical High $151.36 | Professional | 26 · Professional part | $93.33 | $114.82 | $151.36 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $588.84 Typical High $794.33 | Professional | TC · Technical part | $446.68 | $588.84 | $794.33 |
United Setting Professional Modifier None (both parts) Typical Low $537.03 Median $676.08 Typical High $1,318.26 | Professional | None (both parts) | $537.03 | $676.08 | $1,318.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $112.20 Typical High $186.21 | Professional | 26 · Professional part | $75.86 | $112.20 | $186.21 |
United Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $575.44 Typical High $1,122.02 | Professional | TC · Technical part | $457.09 | $575.44 | $1,122.02 |
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 $234.42 Median $275.42 Typical High $331.13 | Professional | 52 · Reduced service | $234.42 | $275.42 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $112.20 Typical High $131.83 | Professional | 53 · Discontinued | $95.50 | $112.20 | $131.83 |
Where Indiana sits
The same service costs 3.3 times more in Alaska than in Texas. 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· 39th of 51
$589
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.