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 $478.63 Median $478.63 Typical High $977.24 | Facility | None | $478.63 | $478.63 | $977.24 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $478.63 Typical High $2,290.87 | Professional | None | $436.52 | $478.63 | $2,290.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $457.09 Median $588.84 Typical High $1,737.80 | Facility | None | $457.09 | $588.84 | $1,737.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $288.40 Median $316.23 Typical High $794.33 | Professional | None | $288.40 | $316.23 | $794.33 |
CareSource Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $588.84 Typical High $1,949.84 | Facility | None | $380.19 | $588.84 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $524.81 Typical High $1,122.02 | Professional | None | $354.81 | $524.81 | $1,122.02 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $1,202.26 Typical High $2,187.76 | Facility | None | $912.01 | $1,202.26 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $426.58 Median $501.19 Typical High $891.25 | Professional | None | $426.58 | $501.19 | $891.25 |
United Setting Professional Modifier None Typical Low $245.47 Median $467.74 Typical High $707.95 | Professional | None | $245.47 | $467.74 | $707.95 |
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 $229.09 Median $239.88 Typical High $489.78 | Professional | 52 · Reduced service | $229.09 | $239.88 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $95.50 Typical High $194.98 | Professional | 53 · Discontinued | $93.33 | $95.50 | $194.98 |
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· 46th of 51
$447
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.