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 $239.88 Median $446.68 Typical High $1,096.48 | Facility | None | $239.88 | $446.68 | $1,096.48 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $239.88 Typical High $446.68 | Professional | None | $223.87 | $239.88 | $446.68 |
Anthem BCBS Setting Facility Modifier None Typical Low $234.42 Median $295.12 Typical High $891.25 | Facility | None | $234.42 | $295.12 | $891.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $446.68 | Professional | None | $117.49 | $117.49 | $446.68 |
CareSource Setting Professional Modifier None Typical Low $295.12 Median $323.59 Typical High $416.87 | Professional | None | $295.12 | $323.59 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $295.12 Typical High $831.76 | Facility | None | $190.55 | $295.12 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $269.15 Typical High $562.34 | Professional | None | $134.90 | $269.15 | $562.34 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $489.78 Median $741.31 Typical High $2,187.76 | Facility | None | $489.78 | $741.31 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $213.80 Median $251.19 Typical High $457.09 | Professional | None | $213.80 | $251.19 | $457.09 |
United Setting Professional Modifier None Typical Low $123.03 Median $177.83 Typical High $354.81 | Professional | None | $123.03 | $177.83 | $354.81 |
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 $112.20 Median $120.23 Typical High $223.87 | Professional | 52 · Reduced service | $112.20 | $120.23 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $48.98 Typical High $89.13 | Professional | 53 · Discontinued | $44.67 | $48.98 | $89.13 |
Where Indiana sits
The same service costs 3.8 times more in Alaska than in Alabama. 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· 39th of 51
$234
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.