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 $48.98 Median $89.13 Typical High $223.87 | Facility | None | $48.98 | $89.13 | $223.87 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $48.98 Typical High $89.13 | Professional | None | $44.67 | $48.98 | $89.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $47.86 Median $60.26 Typical High $181.97 | Facility | None | $47.86 | $60.26 | $181.97 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.71 Median $15.85 Typical High $66.07 | Professional | None | $8.71 | $15.85 | $66.07 |
CareSource Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $23.44 Median $60.26 Typical High $169.82 | Facility | None | $23.44 | $60.26 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $43.65 Typical High $114.82 | Professional | None | $11.22 | $43.65 | $114.82 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $40.74 Median $151.36 Typical High $2,187.76 | Facility | None | $40.74 | $151.36 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $38.90 Median $48.98 Typical High $54.95 | Professional | None | $38.90 | $48.98 | $54.95 |
United Setting Professional Modifier None Typical Low $13.80 Median $30.20 Typical High $72.44 | Professional | None | $13.80 | $30.20 | $72.44 |
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 $22.39 Median $24.55 Typical High $44.67 | Professional | 52 · Reduced service | $22.39 | $24.55 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $9.77 Typical High $18.20 | Professional | 53 · Discontinued | $8.91 | $9.77 | $18.20 |
Where Indiana sits
The same service costs 8.7 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· 30th of 51
$41.69
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.