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 $100.00 Median $147.91 Typical High $446.68 | Facility | None | $100.00 | $147.91 | $446.68 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $100.00 Typical High $204.17 | Professional | None | $91.20 | $100.00 | $204.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $95.50 Median $123.03 Typical High $363.08 | Facility | None | $95.50 | $123.03 | $363.08 |
Anthem BCBS Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $181.97 | Professional | None | $60.26 | $60.26 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $123.03 Typical High $407.38 | Facility | None | $97.72 | $123.03 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $109.65 Typical High $234.42 | Professional | None | $74.13 | $109.65 | $234.42 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $218.78 Median $302.00 Typical High $2,187.76 | Facility | None | $218.78 | $302.00 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $87.10 Median $102.33 Typical High $186.21 | Professional | None | $87.10 | $102.33 | $186.21 |
United Setting Professional Modifier None Typical Low $51.29 Median $91.20 Typical High $151.36 | Professional | None | $51.29 | $91.20 | $151.36 |
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 $45.71 Median $50.12 Typical High $102.33 | Professional | 52 · Reduced service | $45.71 | $50.12 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $19.95 Typical High $40.74 | Professional | 53 · Discontinued | $18.20 | $19.95 | $40.74 |
Where Indiana sits
The same service costs 4.4 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· 40th of 51
$100
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.