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 $46.77 Median $85.11 Typical High $208.93 | Facility | None | $46.77 | $85.11 | $208.93 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $46.77 Typical High $85.11 | Professional | None | $42.66 | $46.77 | $85.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $44.67 Median $57.54 Typical High $169.82 | Facility | None | $44.67 | $57.54 | $169.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $85.11 | Professional | None | $22.91 | $22.91 | $85.11 |
CareSource Setting Professional Modifier None Typical Low $57.54 Median $63.10 Typical High $79.43 | Professional | None | $57.54 | $63.10 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $57.54 Typical High $162.18 | Facility | None | $37.15 | $57.54 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $51.29 Typical High $109.65 | Professional | None | $30.20 | $51.29 | $109.65 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $95.50 Median $141.25 Typical High $2,187.76 | Facility | None | $95.50 | $141.25 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $40.74 Median $46.77 Typical High $87.10 | Professional | None | $40.74 | $46.77 | $87.10 |
United Setting Professional Modifier None Typical Low $23.99 Median $33.88 Typical High $69.18 | Professional | None | $23.99 | $33.88 | $69.18 |
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 $22.39 Median $23.44 Typical High $42.66 | Professional | 52 · Reduced service | $22.39 | $23.44 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $9.33 Typical High $16.98 | Professional | 53 · Discontinued | $8.91 | $9.33 | $16.98 |
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· 43rd of 51
$46.77
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.