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 $309.03 Median $562.34 Typical High $1,380.38 | Facility | None | $309.03 | $562.34 | $1,380.38 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $309.03 Typical High $562.34 | Professional | None | $281.84 | $309.03 | $562.34 |
Anthem BCBS Setting Facility Modifier None Typical Low $295.12 Median $371.54 Typical High $1,122.02 | Facility | None | $295.12 | $371.54 | $1,122.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $489.78 | Professional | None | $151.36 | $151.36 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $371.54 Typical High $1,071.52 | Facility | None | $245.47 | $371.54 | $1,071.52 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $338.84 Typical High $724.44 | Professional | None | $169.82 | $338.84 | $724.44 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $158.49 Median $912.01 Typical High $2,187.76 | Facility | None | $158.49 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $269.15 Median $316.23 Typical High $575.44 | Professional | None | $269.15 | $316.23 | $575.44 |
United Setting Professional Modifier None Typical Low $56.23 Median $223.87 Typical High $446.68 | Professional | None | $56.23 | $223.87 | $446.68 |
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 $141.25 Median $154.88 Typical High $281.84 | Professional | 52 · Reduced service | $141.25 | $154.88 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $61.66 Typical High $112.20 | Professional | 53 · Discontinued | $56.23 | $61.66 | $112.20 |
Where Indiana sits
The same service costs 10.2 times more in Texas than in North Carolina. 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· 23rd of 51
$295
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.