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 $41.69 Median $83.18 Typical High $186.21 | Facility | None | $41.69 | $83.18 | $186.21 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $41.69 Typical High $190.55 | Professional | None | $38.02 | $41.69 | $190.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $39.81 Median $50.12 Typical High $151.36 | Facility | None | $39.81 | $50.12 | $151.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $25.12 Median $30.20 Typical High $69.18 | Professional | None | $25.12 | $30.20 | $69.18 |
CareSource Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $70.79 Typical High $169.82 | Facility | None | $36.31 | $70.79 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $72.44 Typical High $120.23 | Professional | None | $30.20 | $72.44 | $120.23 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $91.20 Median $125.89 Typical High $2,187.76 | Facility | None | $91.20 | $125.89 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $33.11 Median $40.74 Typical High $46.77 | Professional | None | $33.11 | $40.74 | $46.77 |
United Setting Professional Modifier None Typical Low $21.38 Median $41.69 Typical High $61.66 | Professional | None | $21.38 | $41.69 | $61.66 |
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 $19.05 Median $20.89 Typical High $95.50 | Professional | 52 · Reduced service | $19.05 | $20.89 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $8.32 Typical High $38.02 | Professional | 53 · Discontinued | $7.59 | $8.32 | $38.02 |
Where Indiana sits
The same service costs 3.8 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· 41st of 51
$40.74
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.