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 $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $104.71 Typical High $114.82 | Professional | None (both parts) | $102.33 | $104.71 | $114.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $51.29 Typical High $57.54 | Professional | 52 · Reduced service | $51.29 | $51.29 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.89 Typical High $22.91 | Professional | 53 · Discontinued | $20.42 | $20.89 | $22.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $154.88 Median $2,630.27 Typical High $3,548.13 | Facility | None | $154.88 | $2,630.27 | $3,548.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $85.11 Median $154.88 Typical High $169.82 | Professional | None (both parts) | $85.11 | $154.88 | $169.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $144.54 Typical High $512.86 | Professional | None (both parts) | $104.71 | $144.54 | $512.86 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $257.04 Median $912.01 Typical High $2,187.76 | Facility | None | $257.04 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $104.71 Median $144.54 Typical High $186.21 | Professional | None (both parts) | $104.71 | $144.54 | $186.21 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $114.82 Typical High $194.98 | Professional | None (both parts) | $95.50 | $114.82 | $194.98 |
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 |
|---|---|---|---|---|---|
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $112.20 Typical High $138.04 | Professional | TC · Technical part | $104.71 | $112.20 | $138.04 |
Where Indiana sits
The same service costs 3.2 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· 24th of 51
$132
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.