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 $1,737.80 Median $3,235.94 Typical High $7,943.28 | Facility | None | $1,737.80 | $3,235.94 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $1,621.81 Median $1,737.80 Typical High $3,235.94 | Professional | None | $1,621.81 | $1,737.80 | $3,235.94 |
Ambetter Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,348.96 | $1,348.96 | $1,348.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,698.24 Median $2,137.96 Typical High $6,456.54 | Facility | None | $1,698.24 | $2,137.96 | $6,456.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $2,691.53 | Professional | None | $851.14 | $851.14 | $2,691.53 |
CareSource Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Facility | None | $2,691.53 | $2,691.53 | $2,691.53 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $2,137.96 Typical High $6,025.60 | Facility | None | $1,380.38 | $2,137.96 | $6,025.60 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $1,949.84 Typical High $4,073.80 | Professional | None | $977.24 | $1,949.84 | $4,073.80 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $3,235.94 Typical High $6,456.54 | Facility | None | $912.01 | $3,235.94 | $6,456.54 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $1,548.82 Median $1,819.70 Typical High $3,311.31 | Professional | None | $1,548.82 | $1,819.70 | $3,311.31 |
United Setting Professional Modifier None Typical Low $363.08 Median $1,288.25 Typical High $2,570.40 | Professional | None | $363.08 | $1,288.25 | $2,570.40 |
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 $812.83 Median $870.96 Typical High $1,621.81 | Professional | 52 · Reduced service | $812.83 | $870.96 | $1,621.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $354.81 Typical High $645.65 | Professional | 53 · Discontinued | $323.59 | $354.81 | $645.65 |
Where Indiana sits
The same service costs 6.0 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
$1,479
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.