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 $1,995.26 Median $3,715.35 Typical High $9,120.11 | Facility | None | $1,995.26 | $3,715.35 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $1,819.70 Median $1,995.26 Typical High $3,715.35 | Professional | None | $1,819.70 | $1,995.26 | $3,715.35 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,949.84 Median $2,454.71 Typical High $7,413.10 | Facility | None | $1,949.84 | $2,454.71 | $7,413.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $2,691.53 | Professional | None | $977.24 | $977.24 | $2,691.53 |
CareSource Setting Facility Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Facility | None | $3,090.30 | $3,090.30 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $1,584.89 Median $2,454.71 Typical High $6,918.31 | Facility | None | $1,584.89 | $2,454.71 | $6,918.31 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $2,187.76 Typical High $4,677.35 | Professional | None | $1,122.02 | $2,187.76 | $4,677.35 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $3,715.35 Typical High $7,413.10 | Facility | None | $912.01 | $3,715.35 | $7,413.10 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $1,778.28 Median $2,089.30 Typical High $3,715.35 | Professional | None | $1,778.28 | $2,089.30 | $3,715.35 |
United Setting Professional Modifier None Typical Low $363.08 Median $1,479.11 Typical High $2,951.21 | Professional | None | $363.08 | $1,479.11 | $2,951.21 |
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 $912.01 Median $1,000.00 Typical High $1,819.70 | Professional | 52 · Reduced service | $912.01 | $1,000.00 | $1,819.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $363.08 Median $398.11 Typical High $741.31 | Professional | 53 · Discontinued | $363.08 | $398.11 | $741.31 |
Where Indiana sits
The same service costs 6.8 times more in Alaska than in Kentucky. 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· 31st of 51
$1,698
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.