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 $363.08 Median $724.44 Typical High $1,621.81 | Facility | None | $363.08 | $724.44 | $1,621.81 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $1,318.26 | Professional | None | $363.08 | $363.08 | $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 $218.78 Median $218.78 Typical High $1,445.44 | Professional | None | $218.78 | $218.78 | $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 $436.52 Median $851.14 Typical High $3,715.35 | Facility | None | $436.52 | $851.14 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $398.11 Typical High $2,511.89 | Professional | None | $288.40 | $398.11 | $2,511.89 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $891.25 Median $1,949.84 Typical High $3,981.07 | Facility | None | $891.25 | $1,949.84 | $3,981.07 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $316.23 Median $954.99 Typical High $1,513.56 | Professional | None | $316.23 | $954.99 | $1,513.56 |
United Setting Professional Modifier None Typical Low $186.21 Median $363.08 Typical High $602.56 | Professional | None | $186.21 | $363.08 | $602.56 |
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 $181.97 Median $181.97 Typical High $660.69 | Professional | 52 · Reduced service | $181.97 | $181.97 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $72.44 Typical High $263.03 | Professional | 53 · Discontinued | $72.44 | $72.44 | $263.03 |
Where Indiana sits
The same service costs 5.2 times more in North Dakota 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· 45th of 51
$363
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.