How much rates vary
Facilitymedian $3,715 · 10th to 90th $851 to $8,913Professionalmedian $1,047 · 10th to 90th $741 to $1,445
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 $776.25 Median $5,011.87 Typical High $11,220.18 | Facility | None | $776.25 | $5,011.87 | $11,220.18 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $776.25 Typical High $1,000.00 | Professional | None | $741.31 | $776.25 | $1,000.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $741.31 Median $5,370.32 Typical High $9,549.93 | Facility | None | $741.31 | $5,370.32 | $9,549.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $724.44 Median $1,071.52 Typical High $1,445.44 | Professional | None | $724.44 | $1,071.52 | $1,445.44 |
CareSource Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $2,137.96 Typical High $3,715.35 | Facility | None | $645.65 | $2,137.96 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $1,023.29 Typical High $1,584.89 | Professional | None | $851.14 | $1,023.29 | $1,584.89 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $2,290.87 Typical High $4,570.88 | Facility | None | $912.01 | $2,290.87 | $4,570.88 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $870.96 Median $1,047.13 Typical High $1,548.82 | Professional | None | $870.96 | $1,047.13 | $1,548.82 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $3,311.31 Typical High $7,943.28 | Facility | None | $1,000.00 | $3,311.31 | $7,943.28 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,023.29 Typical High $1,513.56 | Professional | None | $812.83 | $1,023.29 | $1,513.56 |
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 52 · Reduced service Typical Low $363.08 Median $389.05 Typical High $478.63 | Professional | 52 · Reduced service | $363.08 | $389.05 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $154.88 Typical High $194.98 | Professional | 53 · Discontinued | $147.91 | $154.88 | $194.98 |
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | GC · Resident with teaching physician | $870.96 | $870.96 | $870.96 |
Where Indiana sits
The same service costs 3.4 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.
Physician feeFacility fee
AK $7,351KY $2,168
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.