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 $112.20 Median $204.17 Typical High $501.19 | Facility | None | $112.20 | $204.17 | $501.19 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $112.20 Typical High $204.17 | Professional | None | $102.33 | $112.20 | $204.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $107.15 Median $138.04 Typical High $407.38 | Facility | None | $107.15 | $138.04 | $407.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $204.17 | Professional | None | $54.95 | $54.95 | $204.17 |
CareSource Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $138.04 Typical High $389.05 | Facility | None | $89.13 | $138.04 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $123.03 Typical High $263.03 | Professional | None | $63.10 | $123.03 | $263.03 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $229.09 Median $338.84 Typical High $2,187.76 | Facility | None | $229.09 | $338.84 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $100.00 Median $112.20 Typical High $208.93 | Professional | None | $100.00 | $112.20 | $208.93 |
United Setting Professional Modifier None Typical Low $57.54 Median $81.28 Typical High $165.96 | Professional | None | $57.54 | $81.28 | $165.96 |
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 $51.29 Median $56.23 Typical High $102.33 | Professional | 52 · Reduced service | $51.29 | $56.23 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $22.39 Typical High $40.74 | Professional | 53 · Discontinued | $20.42 | $22.39 | $40.74 |
Where Indiana sits
The same service costs 5.5 times more in Texas 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· 39th of 51
$110
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.