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 $234.42 Median $426.58 Typical High $1,047.13 | Facility | None | $234.42 | $426.58 | $1,047.13 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $234.42 Typical High $426.58 | Professional | None | $213.80 | $234.42 | $426.58 |
Anthem BCBS Setting Facility Modifier None Typical Low $223.87 Median $281.84 Typical High $851.14 | Facility | None | $223.87 | $281.84 | $851.14 |
Anthem BCBS Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $426.58 | Professional | None | $112.20 | $112.20 | $426.58 |
CareSource Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $794.33 | Facility | None | $281.84 | $281.84 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $257.04 Typical High $537.03 | Professional | None | $128.82 | $257.04 | $537.03 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $467.74 Median $707.95 Typical High $2,187.76 | Facility | None | $467.74 | $707.95 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $204.17 Median $234.42 Typical High $436.52 | Professional | None | $204.17 | $234.42 | $436.52 |
United Setting Professional Modifier None Typical Low $117.49 Median $169.82 Typical High $338.84 | Professional | None | $117.49 | $169.82 | $338.84 |
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 $107.15 Median $114.82 Typical High $213.80 | Professional | 52 · Reduced service | $107.15 | $114.82 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $46.77 Typical High $85.11 | Professional | 53 · Discontinued | $42.66 | $46.77 | $85.11 |
Where Indiana sits
The same service costs 3.7 times more in Alaska 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· 44th of 51
$224
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.