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 $616.60 Median $933.25 Typical High $2,818.38 | Facility | None | $616.60 | $933.25 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $616.60 Typical High $1,148.15 | Professional | None | $575.44 | $616.60 | $1,148.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $602.56 Median $758.58 Typical High $2,290.87 | Facility | None | $602.56 | $758.58 | $2,290.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $302.00 Median $354.81 Typical High $1,148.15 | Professional | None | $302.00 | $354.81 | $1,148.15 |
CareSource Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $758.58 Typical High $2,137.96 | Facility | None | $489.78 | $758.58 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $676.08 Typical High $1,445.44 | Professional | None | $346.74 | $676.08 | $1,445.44 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $1,258.93 Typical High $2,290.87 | Facility | None | $912.01 | $1,258.93 | $2,290.87 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $549.54 Median $645.65 Typical High $1,174.90 | Professional | None | $549.54 | $645.65 | $1,174.90 |
United Setting Professional Modifier None Typical Low $50.12 Median $457.09 Typical High $912.01 | Professional | None | $50.12 | $457.09 | $912.01 |
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 $302.00 Median $309.03 Typical High $575.44 | Professional | 52 · Reduced service | $302.00 | $309.03 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $125.89 Typical High $229.09 | Professional | 53 · Discontinued | $120.23 | $125.89 | $229.09 |
Where Indiana sits
The same service costs 4.5 times more in Alaska than in West Virginia. 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· 41st of 51
$562
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.