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 $54.95 Median $112.20 Typical High $245.47 | Facility | None | $54.95 | $112.20 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $54.95 Typical High $281.84 | Professional | None | $50.12 | $54.95 | $281.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $52.48 Median $66.07 Typical High $199.53 | Facility | None | $52.48 | $66.07 | $199.53 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.11 Median $40.74 Typical High $91.20 | Professional | None | $33.11 | $40.74 | $91.20 |
CareSource Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $93.33 Typical High $223.87 | Facility | None | $47.86 | $93.33 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $95.50 Typical High $162.18 | Professional | None | $43.65 | $95.50 | $162.18 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $120.23 Median $165.96 Typical High $2,187.76 | Facility | None | $120.23 | $165.96 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $43.65 Median $53.70 Typical High $61.66 | Professional | None | $43.65 | $53.70 | $61.66 |
United Setting Professional Modifier None Typical Low $28.18 Median $54.95 Typical High $81.28 | Professional | None | $28.18 | $54.95 | $81.28 |
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 $25.12 Median $27.54 Typical High $141.25 | Professional | 52 · Reduced service | $25.12 | $27.54 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.96 Typical High $56.23 | Professional | 53 · Discontinued | $10.00 | $10.96 | $56.23 |
Where Indiana sits
The same service costs 3.9 times more in Kansas than in Texas. 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· 42nd of 51
$53.70
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.