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 $245.47 Median $416.87 Typical High $1,122.02 | Facility | None | $245.47 | $416.87 | $1,122.02 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $245.47 Typical High $457.09 | Professional | None | $223.87 | $245.47 | $457.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $239.88 Median $302.00 Typical High $912.01 | Facility | None | $239.88 | $302.00 | $912.01 |
Anthem BCBS Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $457.09 | Professional | None | $120.23 | $120.23 | $457.09 |
CareSource Setting Professional Modifier None Typical Low $302.00 Median $331.13 Typical High $426.58 | Professional | None | $302.00 | $331.13 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $302.00 Typical High $851.14 | Facility | None | $194.98 | $302.00 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $269.15 Typical High $575.44 | Professional | None | $158.49 | $269.15 | $575.44 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $501.19 Median $758.58 Typical High $2,187.76 | Facility | None | $501.19 | $758.58 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $218.78 Median $257.04 Typical High $457.09 | Professional | None | $218.78 | $257.04 | $457.09 |
United Setting Professional Modifier None Typical Low $125.89 Median $181.97 Typical High $363.08 | Professional | None | $125.89 | $181.97 | $363.08 |
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 $123.03 Typical High $223.87 | Professional | 52 · Reduced service | $112.20 | $123.03 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $48.98 Typical High $91.20 | Professional | 53 · Discontinued | $45.71 | $48.98 | $91.20 |
Where Indiana sits
The same service costs 3.9 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· 38th of 51
$245
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.