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 $60.26 Median $109.65 Typical High $269.15 | Facility | None | $60.26 | $109.65 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $60.26 Typical High $109.65 | Professional | None | $54.95 | $60.26 | $109.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $57.54 Median $74.13 Typical High $218.78 | Facility | None | $57.54 | $74.13 | $218.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $109.65 | Professional | None | $30.20 | $30.20 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $74.13 Typical High $208.93 | Facility | None | $48.98 | $74.13 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $66.07 Typical High $141.25 | Professional | None | $33.88 | $66.07 | $141.25 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $125.89 Median $181.97 Typical High $2,187.76 | Facility | None | $125.89 | $181.97 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $52.48 Median $60.26 Typical High $112.20 | Professional | None | $52.48 | $60.26 | $112.20 |
United Setting Professional Modifier None Typical Low $30.90 Median $45.71 Typical High $87.10 | Professional | None | $30.90 | $45.71 | $87.10 |
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 $27.54 Median $30.20 Typical High $54.95 | Professional | 52 · Reduced service | $27.54 | $30.20 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $12.02 Typical High $21.88 | Professional | 53 · Discontinued | $10.96 | $12.02 | $21.88 |
Where Indiana sits
The same service costs 3.8 times more in Alaska 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· 40th of 51
$58.88
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.