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 $66.07 Median $134.90 Typical High $295.12 | Facility | None | $66.07 | $134.90 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $66.07 Typical High $134.90 | Professional | None | $60.26 | $66.07 | $134.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $63.10 Median $81.28 Typical High $239.88 | Facility | None | $63.10 | $81.28 | $239.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.18 Median $17.78 Typical High $91.20 | Professional | None | $13.18 | $17.78 | $91.20 |
CareSource Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $81.28 Typical High $229.09 | Facility | None | $52.48 | $81.28 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $112.20 Typical High $234.42 | Professional | None | $50.12 | $112.20 | $234.42 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $54.95 Median $199.53 Typical High $2,187.76 | Facility | None | $54.95 | $199.53 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $52.48 Median $64.57 Typical High $74.13 | Professional | None | $52.48 | $64.57 | $74.13 |
United Setting Professional Modifier None Typical Low $33.88 Median $66.07 Typical High $97.72 | Professional | None | $33.88 | $66.07 | $97.72 |
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 $30.20 Median $33.11 Typical High $67.61 | Professional | 52 · Reduced service | $30.20 | $33.11 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $13.18 Typical High $26.92 | Professional | 53 · Discontinued | $12.02 | $13.18 | $26.92 |
Where Indiana sits
The same service costs 4.6 times more in Kansas 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
$63.10
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.