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 $138.04 Median $257.04 Typical High $630.96 | Facility | None | $138.04 | $257.04 | $630.96 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $138.04 Typical High $257.04 | Professional | None | $128.82 | $138.04 | $257.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $134.90 Median $169.82 Typical High $512.86 | Facility | None | $134.90 | $169.82 | $512.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $257.04 | Professional | None | $67.61 | $67.61 | $257.04 |
CareSource Setting Professional Modifier None Typical Low $169.82 Median $186.21 Typical High $239.88 | Professional | None | $169.82 | $186.21 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $169.82 Typical High $478.63 | Facility | None | $109.65 | $169.82 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $151.36 Typical High $323.59 | Professional | None | $89.13 | $151.36 | $323.59 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $218.78 Median $426.58 Typical High $2,187.76 | Facility | None | $218.78 | $426.58 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $123.03 Median $144.54 Typical High $257.04 | Professional | None | $123.03 | $144.54 | $257.04 |
United Setting Professional Modifier None Typical Low $70.79 Median $102.33 Typical High $204.17 | Professional | None | $70.79 | $102.33 | $204.17 |
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 $63.10 Median $69.18 Typical High $128.82 | Professional | 52 · Reduced service | $63.10 | $69.18 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $27.54 Typical High $51.29 | Professional | 53 · Discontinued | $25.70 | $27.54 | $51.29 |
Where Indiana sits
The same service costs 3.5 times more in Alaska than in North Carolina. 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· 36th of 51
$138
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.