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 $660.69 Median $1,202.26 Typical High $2,951.21 | Facility | None | $660.69 | $1,202.26 | $2,951.21 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $660.69 Typical High $1,202.26 | Professional | None | $602.56 | $660.69 | $1,202.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $630.96 Median $794.33 Typical High $2,398.83 | Facility | None | $630.96 | $794.33 | $2,398.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $173.78 Median $309.03 Typical High $891.25 | Professional | None | $173.78 | $309.03 | $891.25 |
CareSource Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $794.33 Typical High $2,290.87 | Facility | None | $446.68 | $794.33 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $630.96 Typical High $1,548.82 | Professional | None | $169.82 | $630.96 | $1,548.82 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $758.58 Median $1,318.26 Typical High $2,398.83 | Facility | None | $758.58 | $1,318.26 | $2,398.83 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $524.81 Median $645.65 Typical High $741.31 | Professional | None | $524.81 | $645.65 | $741.31 |
United Setting Professional Modifier None Typical Low $257.04 Median $457.09 Typical High $954.99 | Professional | None | $257.04 | $457.09 | $954.99 |
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 $302.00 Median $331.13 Typical High $602.56 | Professional | 52 · Reduced service | $302.00 | $331.13 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $131.83 Typical High $239.88 | Professional | 53 · Discontinued | $120.23 | $131.83 | $239.88 |
Where Indiana sits
The same service costs 11.0 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· 33rd of 51
$550
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.