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 $151.36 Median $229.09 Typical High $676.08 | Facility | None | $151.36 | $229.09 | $676.08 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $151.36 Typical High $275.42 | Professional | None | $138.04 | $151.36 | $275.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $147.91 Median $186.21 Typical High $549.54 | Facility | None | $147.91 | $186.21 | $549.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $275.42 | Professional | None | $74.13 | $74.13 | $275.42 |
CareSource Setting Professional Modifier None Typical Low $186.21 Median $204.17 Typical High $257.04 | Professional | None | $186.21 | $204.17 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $346.74 Typical High $524.81 | Facility | None | $120.23 | $346.74 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $165.96 Typical High $354.81 | Professional | None | $87.10 | $165.96 | $354.81 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $316.23 Median $562.34 Typical High $2,187.76 | Facility | None | $316.23 | $562.34 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $120.23 Median $158.49 Typical High $281.84 | Professional | None | $120.23 | $158.49 | $281.84 |
United Setting Professional Modifier None Typical Low $77.62 Median $112.20 Typical High $223.87 | Professional | None | $77.62 | $112.20 | $223.87 |
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 $69.18 Median $75.86 Typical High $138.04 | Professional | 52 · Reduced service | $69.18 | $75.86 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $30.20 Typical High $54.95 | Professional | 53 · Discontinued | $27.54 | $30.20 | $54.95 |
Where Indiana sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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
$151
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.