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 $229.09 Median $416.87 Typical High $1,023.29 | Facility | None | $229.09 | $416.87 | $1,023.29 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $229.09 Typical High $281.84 | Professional | None | $208.93 | $229.09 | $281.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $218.78 Median $281.84 Typical High $831.76 | Facility | None | $218.78 | $281.84 | $831.76 |
Anthem BCBS Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $416.87 | Professional | None | $107.15 | $107.15 | $416.87 |
CareSource Setting Professional Modifier None Typical Low $281.84 Median $309.03 Typical High $389.05 | Professional | None | $281.84 | $309.03 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $281.84 Typical High $794.33 | Facility | None | $181.97 | $281.84 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $251.19 Typical High $537.03 | Professional | None | $141.25 | $251.19 | $537.03 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $239.88 Median $691.83 Typical High $2,187.76 | Facility | None | $239.88 | $691.83 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $199.53 Median $239.88 Typical High $426.58 | Professional | None | $199.53 | $239.88 | $426.58 |
United Setting Professional Modifier None Typical Low $77.62 Median $165.96 Typical High $331.13 | Professional | None | $77.62 | $165.96 | $331.13 |
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 $104.71 Median $114.82 Typical High $141.25 | Professional | 52 · Reduced service | $104.71 | $114.82 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $45.71 Typical High $56.23 | Professional | 53 · Discontinued | $41.69 | $45.71 | $56.23 |
Where Indiana sits
The same service costs 4.8 times more in Alaska than in North Carolina. 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· 31st of 51
$224
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.