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 $380.19 Median $707.95 Typical High $1,737.80 | Facility | None | $380.19 | $707.95 | $1,737.80 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $380.19 Typical High $707.95 | Professional | None | $354.81 | $380.19 | $707.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $371.54 Median $467.74 Typical High $1,412.54 | Facility | None | $371.54 | $467.74 | $1,412.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $707.95 | Professional | None | $186.21 | $186.21 | $707.95 |
CareSource Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $1,318.26 | Facility | None | $467.74 | $467.74 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $416.87 Typical High $891.25 | Professional | None | $213.80 | $416.87 | $891.25 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $776.25 Median $912.01 Typical High $2,187.76 | Facility | None | $776.25 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $338.84 Median $398.11 Typical High $707.95 | Professional | None | $338.84 | $398.11 | $707.95 |
United Setting Professional Modifier None Typical Low $194.98 Median $281.84 Typical High $562.34 | Professional | None | $194.98 | $281.84 | $562.34 |
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 $173.78 Median $190.55 Typical High $354.81 | Professional | 52 · Reduced service | $173.78 | $190.55 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $77.62 Typical High $141.25 | Professional | 53 · Discontinued | $70.79 | $77.62 | $141.25 |
Where Indiana sits
The same service costs 3.7 times more in Alaska than in Delaware. 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· 43rd of 51
$372
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.