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 $38.90 Median $66.07 Typical High $177.83 | Facility | None | $38.90 | $66.07 | $177.83 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $38.90 Typical High $363.08 | Professional | None | $35.48 | $38.90 | $363.08 |
Ambetter Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $28.84 | Professional | None | $23.99 | $23.99 | $28.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $38.02 Median $47.86 Typical High $144.54 | Facility | None | $38.02 | $47.86 | $144.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.44 Median $28.84 Typical High $75.86 | Professional | None | $23.44 | $28.84 | $75.86 |
CareSource Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $60.26 | Facility | None | $46.77 | $46.77 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $47.86 Typical High $158.49 | Facility | None | $30.90 | $47.86 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $54.95 Typical High $91.20 | Professional | None | $24.55 | $54.95 | $91.20 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $85.11 Median $120.23 Typical High $2,187.76 | Facility | None | $85.11 | $120.23 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $30.90 Median $40.74 Typical High $85.11 | Professional | None | $30.90 | $40.74 | $85.11 |
United Setting Professional Modifier None Typical Low $19.95 Median $32.36 Typical High $57.54 | Professional | None | $19.95 | $32.36 | $57.54 |
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 $17.78 Median $19.50 Typical High $181.97 | Professional | 52 · Reduced service | $17.78 | $19.50 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.76 Typical High $72.44 | Professional | 53 · Discontinued | $7.24 | $7.76 | $72.44 |
Where Indiana sits
The same service costs 5.4 times more in Alaska than in Alabama. 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· 39th of 51
$38.02
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.