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 $117.49 Median $199.53 Typical High $537.03 | Facility | None | $117.49 | $199.53 | $537.03 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $117.49 Typical High $239.88 | Professional | None | $109.65 | $117.49 | $239.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $114.82 Median $144.54 Typical High $436.52 | Facility | None | $114.82 | $144.54 | $436.52 |
Anthem BCBS Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $218.78 | Professional | None | $60.26 | $60.26 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $144.54 Typical High $489.78 | Facility | None | $117.49 | $144.54 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $131.83 Typical High $275.42 | Professional | None | $81.28 | $131.83 | $275.42 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $263.03 Median $363.08 Typical High $2,187.76 | Facility | None | $263.03 | $363.08 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $104.71 Median $123.03 Typical High $223.87 | Professional | None | $104.71 | $123.03 | $223.87 |
United Setting Professional Modifier None Typical Low $60.26 Median $109.65 Typical High $177.83 | Professional | None | $60.26 | $109.65 | $177.83 |
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 $53.70 Median $58.88 Typical High $120.23 | Professional | 52 · Reduced service | $53.70 | $58.88 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $23.99 Typical High $47.86 | Professional | 53 · Discontinued | $21.88 | $23.99 | $47.86 |
Where Indiana sits
The same service costs 4.9 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· 45th of 51
$117
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.