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 $165.96 Median $281.84 Typical High $741.31 | Facility | None | $165.96 | $281.84 | $741.31 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $165.96 Typical High $338.84 | Professional | None | $151.36 | $165.96 | $338.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $158.49 Median $199.53 Typical High $602.56 | Facility | None | $158.49 | $199.53 | $602.56 |
Anthem BCBS Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $302.00 | Professional | None | $97.72 | $97.72 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $199.53 Typical High $676.08 | Facility | None | $162.18 | $199.53 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $181.97 Typical High $389.05 | Professional | None | $128.82 | $181.97 | $389.05 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $363.08 Median $501.19 Typical High $2,187.76 | Facility | None | $363.08 | $501.19 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $144.54 Median $169.82 Typical High $309.03 | Professional | None | $144.54 | $169.82 | $309.03 |
United Setting Professional Modifier None Typical Low $85.11 Median $151.36 Typical High $251.19 | Professional | None | $85.11 | $151.36 | $251.19 |
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 $75.86 Median $83.18 Typical High $169.82 | Professional | 52 · Reduced service | $75.86 | $83.18 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $33.11 Typical High $67.61 | Professional | 53 · Discontinued | $30.20 | $33.11 | $67.61 |
Where Indiana sits
The same service costs 3.2 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· 40th of 51
$166
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.