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 $549.54 Median $1,023.29 Typical High $2,511.89 | Facility | None | $549.54 | $1,023.29 | $2,511.89 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $549.54 Typical High $1,023.29 | Professional | None | $512.86 | $549.54 | $1,023.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $537.03 Median $676.08 Typical High $2,041.74 | Facility | None | $537.03 | $676.08 | $2,041.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $1,023.29 | Professional | None | $281.84 | $281.84 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $676.08 Typical High $1,905.46 | Facility | None | $457.09 | $676.08 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $602.56 Typical High $1,288.25 | Professional | None | $316.23 | $602.56 | $1,288.25 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $1,202.26 Typical High $2,187.76 | Facility | None | $912.01 | $1,202.26 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $489.78 Median $562.34 Typical High $1,023.29 | Professional | None | $489.78 | $562.34 | $1,023.29 |
United Setting Professional Modifier None Typical Low $281.84 Median $426.58 Typical High $812.83 | Professional | None | $281.84 | $426.58 | $812.83 |
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 $251.19 Median $275.42 Typical High $512.86 | Professional | 52 · Reduced service | $251.19 | $275.42 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $112.20 Typical High $204.17 | Professional | 53 · Discontinued | $102.33 | $112.20 | $204.17 |
Where Indiana sits
The same service costs 3.8 times more in Texas than in Oklahoma. 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
$537
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.