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 $1,513.56 Median $3,019.95 Typical High $6,760.83 | Facility | None | $1,513.56 | $3,019.95 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,513.56 Typical High $3,019.95 | Professional | None | $1,380.38 | $1,513.56 | $3,019.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,445.44 Median $1,819.70 Typical High $5,495.41 | Facility | None | $1,445.44 | $1,819.70 | $5,495.41 |
Anthem BCBS Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $2,754.23 | Professional | None | $891.25 | $891.25 | $2,754.23 |
CareSource Setting Professional Modifier None Typical Low $1,819.70 Median $1,995.26 Typical High $2,570.40 | Professional | None | $1,819.70 | $1,995.26 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $1,479.11 Median $1,819.70 Typical High $6,165.95 | Facility | None | $1,479.11 | $1,819.70 | $6,165.95 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,659.59 Typical High $3,467.37 | Professional | None | $1,096.48 | $1,659.59 | $3,467.37 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $3,467.37 Typical High $5,495.41 | Facility | None | $912.01 | $3,467.37 | $5,495.41 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $1,318.26 Median $1,548.82 Typical High $2,818.38 | Professional | None | $1,318.26 | $1,548.82 | $2,818.38 |
United Setting Professional Modifier None Typical Low $758.58 Median $1,380.38 Typical High $2,238.72 | Professional | None | $758.58 | $1,380.38 | $2,238.72 |
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 $691.83 Median $741.31 Typical High $1,513.56 | Professional | 52 · Reduced service | $691.83 | $741.31 | $1,513.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $302.00 Typical High $602.56 | Professional | 53 · Discontinued | $275.42 | $302.00 | $602.56 |
Where Indiana sits
The same service costs 4.3 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· 44th of 51
$1,479
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.