How much rates vary
Facilitymedian $5,754 · 10th to 90th $692 to $15,136Professionalmedian $2,344 · 10th to 90th $1,862 to $3,467
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 $1,995.26 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,995.26 | $1,995.26 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $1,862.09 Median $1,995.26 Typical High $2,884.03 | Professional | None | $1,862.09 | $1,995.26 | $2,884.03 |
Ambetter Setting Professional Modifier None Typical Low $1,905.46 Median $2,511.89 Typical High $2,884.03 | Professional | None | $1,905.46 | $2,511.89 | $2,884.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,148.15 Median $7,762.47 Typical High $17,378.01 | Facility | None | $1,148.15 | $7,762.47 | $17,378.01 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,862.09 Median $2,344.23 Typical High $3,235.94 | Professional | None | $1,862.09 | $2,344.23 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $724.44 Typical High $2,691.53 | Facility | None | $524.81 | $724.44 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,778.28 Median $2,454.71 Typical High $3,890.45 | Professional | None | $1,778.28 | $2,454.71 | $3,890.45 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $3,090.30 Typical High $6,606.93 | Facility | None | $912.01 | $3,090.30 | $6,606.93 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $2,511.89 Median $3,019.95 Typical High $4,365.16 | Professional | None | $2,511.89 | $3,019.95 | $4,365.16 |
United Setting Facility Modifier None Typical Low $302.00 Median $2,290.87 Typical High $10,232.93 | Facility | None | $302.00 | $2,290.87 | $10,232.93 |
United Setting Professional Modifier None Typical Low $1,737.80 Median $2,290.87 Typical High $3,630.78 | Professional | None | $1,737.80 | $2,290.87 | $3,630.78 |
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 $831.76 Median $977.24 Typical High $1,230.27 | Professional | 52 · Reduced service | $831.76 | $977.24 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $331.13 Median $398.11 Typical High $489.78 | Professional | 53 · Discontinued | $331.13 | $398.11 | $489.78 |
Where Indiana sits
The same service costs 4.3 times more in Alaska than in Arkansas. 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.
Physician feeFacility fee
AK $12,394AR $2,907
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.