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 $85.11 Median $169.82 Typical High $380.19 | Facility | None | $85.11 | $169.82 | $380.19 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $85.11 Typical High $501.19 | Professional | None | $77.62 | $85.11 | $501.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $81.28 Median $102.33 Typical High $309.03 | Facility | None | $81.28 | $102.33 | $309.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $51.29 Median $61.66 Typical High $141.25 | Professional | None | $51.29 | $61.66 | $141.25 |
CareSource Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $131.83 Typical High $346.74 | Facility | None | $74.13 | $131.83 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $147.91 Typical High $234.42 | Professional | None | $58.88 | $147.91 | $234.42 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $186.21 Median $257.04 Typical High $2,187.76 | Facility | None | $186.21 | $257.04 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $67.61 Median $83.18 Typical High $93.33 | Professional | None | $67.61 | $83.18 | $93.33 |
United Setting Professional Modifier None Typical Low $43.65 Median $85.11 Typical High $125.89 | Professional | None | $43.65 | $85.11 | $125.89 |
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 $38.90 Median $42.66 Typical High $251.19 | Professional | 52 · Reduced service | $38.90 | $42.66 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $16.98 Typical High $100.00 | Professional | 53 · Discontinued | $15.49 | $16.98 | $100.00 |
Where Indiana sits
The same service costs 5.1 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
$83.18
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.