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 $977.24 Typical High $2,137.96 | Facility | None | $478.63 | $977.24 | $2,137.96 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $1,258.93 | Professional | None | $478.63 | $478.63 | $1,258.93 |
Ambetter Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,318.26 | $1,318.26 | $1,318.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,023.29 Median $1,318.26 Typical High $3,162.28 | Facility | None | $1,023.29 | $1,318.26 | $3,162.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $1,445.44 | Professional | None | $288.40 | $288.40 | $1,445.44 |
CareSource Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,621.81 | $1,621.81 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $851.14 Typical High $3,715.35 | Facility | None | $588.84 | $851.14 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $524.81 Typical High $2,511.89 | Professional | None | $380.19 | $524.81 | $2,511.89 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $1,949.84 Typical High $3,981.07 | Facility | None | $912.01 | $1,949.84 | $3,981.07 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $426.58 Median $954.99 Typical High $1,513.56 | Professional | None | $426.58 | $954.99 | $1,513.56 |
United Setting Professional Modifier None Typical Low $245.47 Median $436.52 Typical High $724.44 | Professional | None | $245.47 | $436.52 | $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 $239.88 Median $239.88 Typical High $660.69 | Professional | 52 · Reduced service | $239.88 | $239.88 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $95.50 Typical High $263.03 | Professional | 53 · Discontinued | $95.50 | $95.50 | $263.03 |
Where Indiana sits
The same service costs 4.0 times more in Wisconsin 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· 47th of 51
$479
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.