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 $457.09 Median $691.83 Typical High $2,041.74 | Facility | None | $457.09 | $691.83 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $457.09 Typical High $831.76 | Professional | None | $436.52 | $457.09 | $831.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $436.52 Median $562.34 Typical High $1,659.59 | Facility | None | $436.52 | $562.34 | $1,659.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $831.76 | Professional | None | $223.87 | $223.87 | $831.76 |
CareSource Setting Professional Modifier None Typical Low $562.34 Median $616.60 Typical High $776.25 | Professional | None | $562.34 | $616.60 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $562.34 Typical High $1,584.89 | Facility | None | $363.08 | $562.34 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $501.19 Typical High $1,071.52 | Professional | None | $295.12 | $501.19 | $1,071.52 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $954.99 Typical High $2,187.76 | Facility | None | $912.01 | $954.99 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $363.08 Median $467.74 Typical High $891.25 | Professional | None | $363.08 | $467.74 | $891.25 |
United Setting Professional Modifier None Typical Low $234.42 Median $331.13 Typical High $660.69 | Professional | None | $234.42 | $331.13 | $660.69 |
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 $218.78 Median $229.09 Typical High $416.87 | Professional | 52 · Reduced service | $218.78 | $229.09 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $91.20 Typical High $165.96 | Professional | 53 · Discontinued | $87.10 | $91.20 | $165.96 |
Where Indiana sits
The same service costs 4.6 times more in Kansas 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· 42nd of 51
$457
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.