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 $51.29 Median $67.61 Typical High $117.49 | Facility | None | $51.29 | $67.61 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $51.29 Typical High $97.72 | Professional | None | $46.77 | $51.29 | $97.72 |
Ambetter Setting Professional Modifier None Typical Low $26.30 Median $30.90 Typical High $52.48 | Professional | None | $26.30 | $30.90 | $52.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $48.98 Median $61.66 Typical High $186.21 | Facility | None | $48.98 | $61.66 | $186.21 |
Anthem BCBS Setting Professional Modifier None Typical Low $31.62 Median $35.48 Typical High $67.61 | Professional | None | $31.62 | $35.48 | $67.61 |
CareSource Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $77.62 | Facility | None | $56.23 | $56.23 | $77.62 |
CareSource Setting Professional Modifier None Typical Low $40.74 Median $61.66 Typical High $70.79 | Professional | None | $40.74 | $61.66 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $61.66 Typical High $194.98 | Facility | None | $40.74 | $61.66 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $56.23 Typical High $120.23 | Professional | None | $34.67 | $56.23 | $120.23 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $112.20 Median $154.88 Typical High $2,187.76 | Facility | None | $112.20 | $154.88 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $40.74 Median $52.48 Typical High $95.50 | Professional | None | $40.74 | $52.48 | $95.50 |
United Setting Professional Modifier None Typical Low $26.30 Median $47.86 Typical High $74.13 | Professional | None | $26.30 | $47.86 | $74.13 |
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 $23.44 Median $25.70 Typical High $120.23 | Professional | 52 · Reduced service | $23.44 | $25.70 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $10.23 Typical High $47.86 | Professional | 53 · Discontinued | $9.33 | $10.23 | $47.86 |
Where Indiana sits
The same service costs 4.5 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.
Indiana· 46th of 51
$47.86
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.