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 $107.15 Median $194.98 Typical High $478.63 | Facility | None | $107.15 | $194.98 | $478.63 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $107.15 Typical High $354.81 | Professional | None | $97.72 | $107.15 | $354.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $102.33 Median $128.82 Typical High $389.05 | Facility | None | $102.33 | $128.82 | $389.05 |
Anthem BCBS Setting Professional Modifier None Typical Low $41.69 Median $56.23 Typical High $141.25 | Professional | None | $41.69 | $56.23 | $141.25 |
CareSource Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $128.82 Typical High $363.08 | Facility | None | $83.18 | $128.82 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $134.90 Typical High $245.47 | Professional | None | $51.29 | $134.90 | $245.47 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $190.55 Median $323.59 Typical High $2,187.76 | Facility | None | $190.55 | $323.59 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $85.11 Median $104.71 Typical High $120.23 | Professional | None | $85.11 | $104.71 | $120.23 |
United Setting Professional Modifier None Typical Low $53.70 Median $77.62 Typical High $154.88 | Professional | None | $53.70 | $77.62 | $154.88 |
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 $48.98 Median $52.48 Typical High $177.83 | Professional | 52 · Reduced service | $48.98 | $52.48 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $21.38 Typical High $70.79 | Professional | 53 · Discontinued | $19.50 | $21.38 | $70.79 |
Where Indiana sits
The same service costs 6.0 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· 41st of 51
$93.33
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.