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 $199.53 Median $407.38 Typical High $891.25 | Facility | None | $199.53 | $407.38 | $891.25 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $199.53 Typical High $407.38 | Professional | None | $181.97 | $199.53 | $407.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $190.55 Median $239.88 Typical High $724.44 | Facility | None | $190.55 | $239.88 | $724.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $363.08 | Professional | None | $120.23 | $120.23 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $239.88 Typical High $812.83 | Facility | None | $194.98 | $239.88 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $218.78 Typical High $467.74 | Professional | None | $131.83 | $218.78 | $467.74 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $436.52 Median $602.56 Typical High $2,187.76 | Facility | None | $436.52 | $602.56 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $173.78 Median $199.53 Typical High $371.54 | Professional | None | $173.78 | $199.53 | $371.54 |
United Setting Professional Modifier None Typical Low $102.33 Median $165.96 Typical High $295.12 | Professional | None | $102.33 | $165.96 | $295.12 |
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 $91.20 Median $100.00 Typical High $199.53 | Professional | 52 · Reduced service | $91.20 | $100.00 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $39.81 Typical High $81.28 | Professional | 53 · Discontinued | $36.31 | $39.81 | $81.28 |
Where Indiana sits
The same service costs 5.1 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· 43rd of 51
$195
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.