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 $52.48 Median $95.50 Typical High $234.42 | Facility | None | $52.48 | $95.50 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $52.48 Typical High $95.50 | Professional | None | $47.86 | $52.48 | $95.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $50.12 Median $64.57 Typical High $190.55 | Facility | None | $50.12 | $64.57 | $190.55 |
Anthem BCBS Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $83.18 | Professional | None | $25.12 | $25.12 | $83.18 |
CareSource Setting Professional Modifier None Typical Low $64.57 Median $70.79 Typical High $89.13 | Professional | None | $64.57 | $70.79 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $41.69 Median $64.57 Typical High $181.97 | Facility | None | $41.69 | $64.57 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $57.54 Typical High $123.03 | Professional | None | $33.11 | $57.54 | $123.03 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $107.15 Median $158.49 Typical High $2,187.76 | Facility | None | $107.15 | $158.49 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $45.71 Median $54.95 Typical High $97.72 | Professional | None | $45.71 | $54.95 | $97.72 |
United Setting Professional Modifier None Typical Low $26.92 Median $38.02 Typical High $77.62 | Professional | None | $26.92 | $38.02 | $77.62 |
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 $25.12 Median $26.30 Typical High $47.86 | Professional | 52 · Reduced service | $25.12 | $26.30 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.47 Typical High $19.05 | Professional | 53 · Discontinued | $10.00 | $10.47 | $19.05 |
Where Indiana sits
The same service costs 3.4 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· 41st of 51
$51.29
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.