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 $158.49 Median $288.40 Typical High $707.95 | Facility | None | $158.49 | $288.40 | $707.95 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $158.49 Typical High $288.40 | Professional | None | $144.54 | $158.49 | $288.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $151.36 Median $194.98 Typical High $575.44 | Facility | None | $151.36 | $194.98 | $575.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $288.40 | Professional | None | $77.62 | $77.62 | $288.40 |
CareSource Setting Professional Modifier None Typical Low $194.98 Median $213.80 Typical High $269.15 | Professional | None | $194.98 | $213.80 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $194.98 Typical High $549.54 | Facility | None | $125.89 | $194.98 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $173.78 Typical High $371.54 | Professional | None | $89.13 | $173.78 | $371.54 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $323.59 Median $478.63 Typical High $2,187.76 | Facility | None | $323.59 | $478.63 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $138.04 Median $165.96 Typical High $295.12 | Professional | None | $138.04 | $165.96 | $295.12 |
United Setting Professional Modifier None Typical Low $81.28 Median $117.49 Typical High $234.42 | Professional | None | $81.28 | $117.49 | $234.42 |
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 $72.44 Median $79.43 Typical High $144.54 | Professional | 52 · Reduced service | $72.44 | $79.43 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $31.62 Typical High $57.54 | Professional | 53 · Discontinued | $28.84 | $31.62 | $57.54 |
Where Indiana sits
The same service costs 3.7 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
$155
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.