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 $70.79 Median $144.54 Typical High $323.59 | Facility | None | $70.79 | $144.54 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $70.79 Typical High $199.53 | Professional | None | $64.57 | $70.79 | $199.53 |
Anthem BCBS Setting Facility Modifier None Typical Low $69.18 Median $87.10 Typical High $263.03 | Facility | None | $69.18 | $87.10 | $263.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $42.66 Median $52.48 Typical High $120.23 | Professional | None | $42.66 | $52.48 | $120.23 |
CareSource Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $87.10 Typical High $288.40 | Facility | None | $56.23 | $87.10 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $120.23 Typical High $213.80 | Professional | None | $52.48 | $120.23 | $213.80 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $154.88 Median $218.78 Typical High $2,187.76 | Facility | None | $154.88 | $218.78 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $56.23 Median $70.79 Typical High $79.43 | Professional | None | $56.23 | $70.79 | $79.43 |
United Setting Professional Modifier None Typical Low $36.31 Median $69.18 Typical High $104.71 | Professional | None | $36.31 | $69.18 | $104.71 |
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 $32.36 Median $35.48 Typical High $100.00 | Professional | 52 · Reduced service | $32.36 | $35.48 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $14.13 Typical High $39.81 | Professional | 53 · Discontinued | $13.18 | $14.13 | $39.81 |
Where Indiana sits
The same service costs 4.1 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· 45th of 51
$69.18
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.