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 $123.03 Median $186.21 Typical High $549.54 | Facility | None | $123.03 | $186.21 | $549.54 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $123.03 Typical High $223.87 | Professional | None | $112.20 | $123.03 | $223.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $117.49 Median $151.36 Typical High $446.68 | Facility | None | $117.49 | $151.36 | $446.68 |
Anthem BCBS Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $223.87 | Professional | None | $60.26 | $60.26 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $281.84 Typical High $426.58 | Facility | None | $97.72 | $281.84 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $134.90 Typical High $288.40 | Professional | None | $70.79 | $134.90 | $288.40 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $257.04 Median $457.09 Typical High $2,187.76 | Facility | None | $257.04 | $457.09 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $97.72 Median $128.82 Typical High $229.09 | Professional | None | $97.72 | $128.82 | $229.09 |
United Setting Professional Modifier None Typical Low $63.10 Median $91.20 Typical High $181.97 | Professional | None | $63.10 | $91.20 | $181.97 |
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 $56.23 Median $61.66 Typical High $112.20 | Professional | 52 · Reduced service | $56.23 | $61.66 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $24.55 Typical High $44.67 | Professional | 53 · Discontinued | $22.39 | $24.55 | $44.67 |
Where Indiana sits
The same service costs 5.4 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· 44th of 51
$117
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.