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 $2,398.83 Median $4,073.80 Typical High $10,715.19 | Facility | None | $2,398.83 | $4,073.80 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $2,187.76 Median $2,398.83 Typical High $4,365.16 | Professional | None | $2,187.76 | $2,398.83 | $4,365.16 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,290.87 Median $2,951.21 Typical High $8,709.64 | Facility | None | $2,290.87 | $2,951.21 | $8,709.64 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $3,630.78 | Professional | None | $1,174.90 | $1,174.90 | $3,630.78 |
CareSource Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Facility | None | $3,630.78 | $3,630.78 | $3,630.78 |
CareSource Setting Professional Modifier None Typical Low $1,905.46 Median $2,951.21 Typical High $4,073.80 | Professional | None | $1,905.46 | $2,951.21 | $4,073.80 |
Cigna Setting Facility Modifier None Typical Low $1,905.46 Median $2,951.21 Typical High $8,317.64 | Facility | None | $1,905.46 | $2,951.21 | $8,317.64 |
Cigna Setting Professional Modifier None Typical Low $1,380.38 Median $2,630.27 Typical High $5,623.41 | Professional | None | $1,380.38 | $2,630.27 | $5,623.41 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $4,897.79 Typical High $8,912.51 | Facility | None | $912.01 | $4,897.79 | $8,912.51 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $2,089.30 Median $2,454.71 Typical High $4,466.84 | Professional | None | $2,089.30 | $2,454.71 | $4,466.84 |
United Setting Professional Modifier None Typical Low $1,230.27 Median $1,737.80 Typical High $3,467.37 | Professional | None | $1,230.27 | $1,737.80 | $3,467.37 |
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 $1,096.48 Median $1,202.26 Typical High $2,187.76 | Professional | 52 · Reduced service | $1,096.48 | $1,202.26 | $2,187.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $436.52 Median $478.63 Typical High $870.96 | Professional | 53 · Discontinued | $436.52 | $478.63 | $870.96 |
Where Indiana sits
The same service costs 5.4 times more in Alaska than in Alabama. 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
$2,188
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.