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 $870.96 Median $870.96 Typical High $1,174.90 | Facility | None | $870.96 | $870.96 | $1,174.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $870.96 Median $870.96 Typical High $1,174.90 | Professional | None (both parts) | $870.96 | $870.96 | $1,174.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $537.03 Median $1,230.27 Typical High $1,621.81 | Facility | None | $537.03 | $1,230.27 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $1,288.25 Typical High $1,445.44 | Facility | None | $269.15 | $1,288.25 | $1,445.44 |
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 |
1 more rate 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 |
|---|---|---|---|---|---|
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | 26 · Professional part | $0.02 | $0.02 | $0.02 |
Where Indiana sits
The same service costs 60.3 times more in New Hampshire than in Alaska. 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· 11th of 46
$1,175
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.