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 $123.03 Median $245.47 Typical High $549.54 | Facility | None | $123.03 | $245.47 | $549.54 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $123.03 Typical High $501.19 | Professional | None | $112.20 | $123.03 | $501.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $117.49 Median $147.91 Typical High $446.68 | Facility | None | $117.49 | $147.91 | $446.68 |
Anthem BCBS Setting Professional Modifier None Typical Low $70.79 Median $85.11 Typical High $204.17 | Professional | None | $70.79 | $85.11 | $204.17 |
CareSource Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $147.91 Typical High $501.19 | Facility | None | $95.50 | $147.91 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $181.97 Typical High $354.81 | Professional | None | $81.28 | $181.97 | $354.81 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $269.15 Median $371.54 Typical High $2,187.76 | Facility | None | $269.15 | $371.54 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $97.72 Median $120.23 Typical High $138.04 | Professional | None | $97.72 | $120.23 | $138.04 |
United Setting Professional Modifier None Typical Low $61.66 Median $123.03 Typical High $177.83 | Professional | None | $61.66 | $123.03 | $177.83 |
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 $56.23 Median $60.26 Typical High $251.19 | Professional | 52 · Reduced service | $56.23 | $60.26 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $24.55 Typical High $100.00 | Professional | 53 · Discontinued | $22.39 | $24.55 | $100.00 |
Where Indiana sits
The same service costs 5.8 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· 44th of 51
$117
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.