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 $53.70 Median $81.28 Typical High $239.88 | Facility | None | $53.70 | $81.28 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $53.70 Typical High $97.72 | Professional | None | $48.98 | $53.70 | $97.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $52.48 Median $66.07 Typical High $194.98 | Facility | None | $52.48 | $66.07 | $194.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $97.72 | Professional | None | $26.30 | $26.30 | $97.72 |
CareSource Setting Professional Modifier None Typical Low $66.07 Median $72.44 Typical High $91.20 | Professional | None | $66.07 | $72.44 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $66.07 Typical High $186.21 | Facility | None | $42.66 | $66.07 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $58.88 Typical High $125.89 | Professional | None | $34.67 | $58.88 | $125.89 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $109.65 Median $165.96 Typical High $2,187.76 | Facility | None | $109.65 | $165.96 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $47.86 Median $56.23 Typical High $100.00 | Professional | None | $47.86 | $56.23 | $100.00 |
United Setting Professional Modifier None Typical Low $27.54 Median $39.81 Typical High $79.43 | Professional | None | $27.54 | $39.81 | $79.43 |
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 $24.55 Median $26.92 Typical High $48.98 | Professional | 52 · Reduced service | $24.55 | $26.92 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $10.72 Typical High $19.50 | Professional | 53 · Discontinued | $9.77 | $10.72 | $19.50 |
Where Indiana sits
The same service costs 3.4 times more in Alaska than in Kentucky. 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
$53.70
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.