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 $489.78 Median $891.25 Typical High $2,187.76 | Facility | None | $489.78 | $891.25 | $2,187.76 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $489.78 Typical High $891.25 | Professional | None | $446.68 | $489.78 | $891.25 |
Ambetter Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None | $371.54 | $371.54 | $371.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $467.74 Median $602.56 Typical High $1,778.28 | Facility | None | $467.74 | $602.56 | $1,778.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $239.88 Median $288.40 Typical High $794.33 | Professional | None | $239.88 | $288.40 | $794.33 |
CareSource Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $602.56 Typical High $1,698.24 | Facility | None | $389.05 | $602.56 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $537.03 Typical High $1,148.15 | Professional | None | $281.84 | $537.03 | $1,148.15 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $1,023.29 Typical High $2,187.76 | Facility | None | $912.01 | $1,023.29 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $436.52 Median $512.86 Typical High $912.01 | Professional | None | $436.52 | $512.86 | $912.01 |
United Setting Professional Modifier None Typical Low $251.19 Median $363.08 Typical High $724.44 | Professional | None | $251.19 | $363.08 | $724.44 |
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 $234.42 Median $245.47 Typical High $446.68 | Professional | 52 · Reduced service | $234.42 | $245.47 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $97.72 Typical High $177.83 | Professional | 53 · Discontinued | $95.50 | $97.72 | $177.83 |
Where Indiana sits
The same service costs 3.8 times more in Alaska than in Georgia. 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
$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.