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 $79.43 Median $537.03 Typical High $5,623.41 | Facility | None | $79.43 | $537.03 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $97.72 Typical High $138.04 | Professional | None | $69.18 | $97.72 | $138.04 |
Ambetter Setting Professional Modifier None Typical Low $74.13 Median $97.72 Typical High $97.72 | Professional | None | $74.13 | $97.72 | $97.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $741.31 Median $3,235.94 Typical High $6,309.57 | Facility | None | $741.31 | $3,235.94 | $6,309.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $63.10 Median $74.13 Typical High $112.20 | Professional | None | $63.10 | $74.13 | $112.20 |
CareSource Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $125.89 | Facility | None | $81.28 | $81.28 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $109.65 Typical High $165.96 | Facility | None | $74.13 | $109.65 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $123.03 Typical High $239.88 | Professional | None | $79.43 | $123.03 | $239.88 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $112.20 Median $208.93 Typical High $2,089.30 | Facility | None | $112.20 | $208.93 | $2,089.30 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $79.43 Median $125.89 Typical High $194.98 | Professional | None | $79.43 | $125.89 | $194.98 |
United Setting Facility Modifier None Typical Low $398.11 Median $1,348.96 Typical High $3,801.89 | Facility | None | $398.11 | $1,348.96 | $3,801.89 |
United Setting Professional Modifier None Typical Low $77.62 Median $123.03 Typical High $186.21 | Professional | None | $77.62 | $123.03 | $186.21 |
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 $34.67 Median $43.65 Typical High $60.26 | Professional | 52 · Reduced service | $34.67 | $43.65 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $17.38 Typical High $23.99 | Professional | 53 · Discontinued | $13.80 | $17.38 | $23.99 |
Where Indiana sits
The same service costs 2.8 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· 50th of 51
$102
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.