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 $15.14 Median $28.18 Typical High $69.18 | Facility | None | $15.14 | $28.18 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $15.14 Typical High $120.23 | Professional | None | $14.13 | $15.14 | $120.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.79 Median $18.62 Typical High $56.23 | Facility | None | $14.79 | $18.62 | $56.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.41 Median $9.77 Typical High $23.99 | Professional | None | $7.41 | $9.77 | $23.99 |
CareSource Setting Facility Modifier None Typical Low $23.44 Median $23.44 Typical High $23.44 | Facility | None | $23.44 | $23.44 | $23.44 |
Cigna Setting Facility Modifier None Typical Low $12.02 Median $35.48 Typical High $52.48 | Facility | None | $12.02 | $35.48 | $52.48 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $16.60 Typical High $36.31 | Professional | None | $8.51 | $16.60 | $36.31 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $31.62 Median $56.23 Typical High $2,187.76 | Facility | None | $31.62 | $56.23 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $11.75 Median $15.49 Typical High $20.89 | Professional | None | $11.75 | $15.49 | $20.89 |
United Setting Professional Modifier None Typical Low $7.76 Median $11.22 Typical High $22.39 | Professional | None | $7.76 | $11.22 | $22.39 |
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 $6.92 Median $7.59 Typical High $60.26 | Professional | 52 · Reduced service | $6.92 | $7.59 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $3.09 Typical High $23.99 | Professional | 53 · Discontinued | $2.82 | $3.09 | $23.99 |
Where Indiana sits
The same service costs 3.7 times more in Alaska than in Nebraska. 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· 46th of 51
$13.80
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.