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 $223.87 Median $416.87 Typical High $1,023.29 | Facility | None | $223.87 | $416.87 | $1,023.29 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $223.87 Typical High $416.87 | Professional | None | $204.17 | $223.87 | $416.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $218.78 Median $275.42 Typical High $831.76 | Facility | None | $218.78 | $275.42 | $831.76 |
Anthem BCBS Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $416.87 | Professional | None | $109.65 | $109.65 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $275.42 Typical High $776.25 | Facility | None | $177.83 | $275.42 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $245.47 Typical High $524.81 | Professional | None | $125.89 | $245.47 | $524.81 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $457.09 Median $691.83 Typical High $2,187.76 | Facility | None | $457.09 | $691.83 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $199.53 Median $229.09 Typical High $416.87 | Professional | None | $199.53 | $229.09 | $416.87 |
United Setting Professional Modifier None Typical Low $114.82 Median $165.96 Typical High $331.13 | Professional | None | $114.82 | $165.96 | $331.13 |
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 $102.33 Median $112.20 Typical High $204.17 | Professional | 52 · Reduced service | $102.33 | $112.20 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $44.67 Typical High $83.18 | Professional | 53 · Discontinued | $41.69 | $44.67 | $83.18 |
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· 43rd of 51
$219
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.