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 $42.66 Median $77.62 Typical High $190.55 | Facility | None | $42.66 | $77.62 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $42.66 Typical High $77.62 | Professional | None | $38.90 | $42.66 | $77.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $40.74 Median $51.29 Typical High $154.88 | Facility | None | $40.74 | $51.29 | $154.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $51.29 Median $56.23 Typical High $102.33 | Professional | None | $51.29 | $56.23 | $102.33 |
CareSource Setting Professional Modifier None Typical Low $51.29 Median $56.23 Typical High $72.44 | Professional | None | $51.29 | $56.23 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $51.29 Typical High $144.54 | Facility | None | $33.11 | $51.29 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $47.86 Typical High $97.72 | Professional | None | $37.15 | $47.86 | $97.72 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $87.10 Median $162.18 Typical High $2,187.76 | Facility | None | $87.10 | $162.18 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $37.15 Median $43.65 Typical High $79.43 | Professional | None | $37.15 | $43.65 | $79.43 |
United Setting Professional Modifier None Typical Low $21.38 Median $30.90 Typical High $61.66 | Professional | None | $21.38 | $30.90 | $61.66 |
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 $20.42 Median $20.89 Typical High $38.90 | Professional | 52 · Reduced service | $20.42 | $20.89 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $8.51 Typical High $15.49 | Professional | 53 · Discontinued | $8.13 | $8.51 | $15.49 |
Where Indiana sits
The same service costs 6.0 times more in California 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· 21st of 51
$56.23
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.