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 $144.54 Median $263.03 Typical High $645.65 | Facility | None | $144.54 | $263.03 | $645.65 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $144.54 Typical High $263.03 | Professional | None | $131.83 | $144.54 | $263.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $138.04 Median $173.78 Typical High $524.81 | Facility | None | $138.04 | $173.78 | $524.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $263.03 | Professional | None | $58.88 | $58.88 | $263.03 |
CareSource Setting Professional Modifier None Typical Low $173.78 Median $190.55 Typical High $245.47 | Professional | None | $173.78 | $190.55 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $173.78 Typical High $489.78 | Facility | None | $114.82 | $173.78 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $158.49 Typical High $338.84 | Professional | None | $79.43 | $158.49 | $338.84 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $288.40 Median $436.52 Typical High $2,187.76 | Facility | None | $288.40 | $436.52 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $125.89 Median $147.91 Typical High $269.15 | Professional | None | $125.89 | $147.91 | $269.15 |
United Setting Professional Modifier None Typical Low $74.13 Median $104.71 Typical High $208.93 | Professional | None | $74.13 | $104.71 | $208.93 |
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 $66.07 Median $72.44 Typical High $131.83 | Professional | 52 · Reduced service | $66.07 | $72.44 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $28.84 Typical High $52.48 | Professional | 53 · Discontinued | $26.30 | $28.84 | $52.48 |
Where Indiana sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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
$141
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.