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 $21.38 Median $21.38 Typical High $21.38 | Facility | None | $21.38 | $21.38 | $21.38 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $21.38 Typical High $29.51 | Professional | None | $13.80 | $21.38 | $29.51 |
Anthem BCBS Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $309.03 | Facility | None | $158.49 | $158.49 | $309.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $125.89 Median $158.49 Typical High $239.88 | Professional | None | $125.89 | $158.49 | $239.88 |
CareSource Setting Facility Modifier None Typical Low $15.49 Median $229.09 Typical High $346.74 | Facility | None | $15.49 | $229.09 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $954.99 Typical High $2,187.76 | Facility | None | $912.01 | $954.99 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $35.48 | Professional | None | $30.20 | $30.20 | $35.48 |
United Setting Professional Modifier None Typical Low $57.54 Median $102.33 Typical High $199.53 | Professional | None | $57.54 | $102.33 | $199.53 |
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 $6.92 Median $10.72 Typical High $14.79 | Professional | 52 · Reduced service | $6.92 | $10.72 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $4.27 Typical High $5.89 | Professional | 53 · Discontinued | $2.82 | $4.27 | $5.89 |
Where Indiana sits
The same service costs 19.1 times more in Nebraska than in Hawaii. 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· 3rd of 51
$158
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.