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 $83.18 Median $154.88 Typical High $380.19 | Facility | None | $83.18 | $154.88 | $380.19 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $83.18 Typical High $154.88 | Professional | None | $75.86 | $83.18 | $154.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $81.28 Median $102.33 Typical High $309.03 | Facility | None | $81.28 | $102.33 | $309.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $154.88 | Professional | None | $40.74 | $40.74 | $154.88 |
CareSource Setting Professional Modifier None Typical Low $102.33 Median $112.20 Typical High $144.54 | Professional | None | $102.33 | $112.20 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $102.33 Typical High $288.40 | Facility | None | $66.07 | $102.33 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $91.20 Typical High $194.98 | Professional | None | $53.70 | $91.20 | $194.98 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $169.82 Median $257.04 Typical High $2,187.76 | Facility | None | $169.82 | $257.04 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $74.13 Median $87.10 Typical High $154.88 | Professional | None | $74.13 | $87.10 | $154.88 |
United Setting Professional Modifier None Typical Low $42.66 Median $61.66 Typical High $123.03 | Professional | None | $42.66 | $61.66 | $123.03 |
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 $40.74 Median $41.69 Typical High $75.86 | Professional | 52 · Reduced service | $40.74 | $41.69 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $16.60 Typical High $30.90 | Professional | 53 · Discontinued | $16.22 | $16.60 | $30.90 |
Where Indiana sits
The same service costs 3.7 times more in Kansas 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· 45th of 51
$83.18
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.