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 $141.25 Median $239.88 Typical High $630.96 | Facility | None | $141.25 | $239.88 | $630.96 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $141.25 Typical High $257.04 | Professional | None | $128.82 | $141.25 | $257.04 |
Ambetter Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $138.04 Median $173.78 Typical High $512.86 | Facility | None | $138.04 | $173.78 | $512.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $288.40 | Professional | None | $74.13 | $74.13 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $173.78 Typical High $501.19 | Facility | None | $120.23 | $173.78 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $154.88 Typical High $331.13 | Professional | None | $97.72 | $154.88 | $331.13 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $309.03 Median $436.52 Typical High $2,187.76 | Facility | None | $309.03 | $436.52 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $125.89 Median $147.91 Typical High $263.03 | Professional | None | $125.89 | $147.91 | $263.03 |
United Setting Professional Modifier None Typical Low $72.44 Median $112.20 Typical High $208.93 | Professional | None | $72.44 | $112.20 | $208.93 |
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 $64.57 Median $70.79 Typical High $128.82 | Professional | 52 · Reduced service | $64.57 | $70.79 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $28.18 Typical High $51.29 | Professional | 53 · Discontinued | $25.70 | $28.18 | $51.29 |
Where Indiana sits
The same service costs 3.4 times more in Alaska than in Delaware. 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· 40th of 51
$141
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.