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 $93.33 Median $208.93 Typical High $426.58 | Facility | None | $93.33 | $208.93 | $426.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $95.50 | Professional | None (both parts) | $93.33 | $93.33 | $95.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $114.82 Median $229.09 Typical High $346.74 | Facility | None | $114.82 | $229.09 | $346.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $26.92 Median $31.62 Typical High $125.89 | Professional | None (both parts) | $26.92 | $31.62 | $125.89 |
CareSource Setting Facility Modifier None Typical Low $112.20 Median $1,659.59 Typical High $2,511.89 | Facility | None | $112.20 | $1,659.59 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $218.78 Typical High $323.59 | Facility | None | $74.13 | $218.78 | $323.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $141.25 Typical High $165.96 | Professional | None (both parts) | $131.83 | $141.25 | $165.96 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $169.82 Median $288.40 Typical High $363.08 | Facility | None | $169.82 | $288.40 | $363.08 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $100.00 | Professional | None (both parts) | $97.72 | $97.72 | $100.00 |
United Setting Professional Modifier None (both parts) Typical Low $47.86 Median $69.18 Typical High $138.04 | Professional | None (both parts) | $47.86 | $69.18 | $138.04 |
3 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 26 · Professional part Typical Low $85.11 Median $93.33 Typical High $95.50 | Professional | 26 · Professional part | $85.11 | $93.33 | $95.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $46.77 Typical High $48.98 | Professional | 52 · Reduced service | $42.66 | $46.77 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $18.62 Typical High $19.50 | Professional | 53 · Discontinued | $16.98 | $18.62 | $19.50 |
Where Indiana sits
The same service costs 8.1 times more in Alaska than in Kentucky. 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· 48th of 51
$64.57
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.