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 $32.36 Median $58.88 Typical High $144.54 | Facility | None | $32.36 | $58.88 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $32.36 Typical High $58.88 | Professional | None | $29.51 | $32.36 | $58.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $30.90 Median $38.90 Typical High $117.49 | Facility | None | $30.90 | $38.90 | $117.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $60.26 | Professional | None | $15.85 | $15.85 | $60.26 |
CareSource Setting Professional Modifier None Typical Low $38.90 Median $43.65 Typical High $54.95 | Professional | None | $38.90 | $43.65 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $38.90 Typical High $112.20 | Facility | None | $25.70 | $38.90 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $35.48 Typical High $75.86 | Professional | None | $20.89 | $35.48 | $75.86 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $64.57 Median $97.72 Typical High $2,187.76 | Facility | None | $64.57 | $97.72 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $28.18 Median $33.11 Typical High $60.26 | Professional | None | $28.18 | $33.11 | $60.26 |
United Setting Professional Modifier None Typical Low $16.60 Median $23.44 Typical High $46.77 | Professional | None | $16.60 | $23.44 | $46.77 |
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 $15.49 Median $16.22 Typical High $29.51 | Professional | 52 · Reduced service | $15.49 | $16.22 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.46 Typical High $11.75 | Professional | 53 · Discontinued | $6.17 | $6.46 | $11.75 |
Where Indiana sits
The same service costs 6.6 times more in Kansas 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· 41st of 51
$32.36
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.