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 $1,047.13 Median $1,949.84 Typical High $4,786.30 | Facility | None | $1,047.13 | $1,949.84 | $4,786.30 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $1,047.13 Typical High $1,949.84 | Professional | None | $954.99 | $1,047.13 | $1,949.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,023.29 Median $1,288.25 Typical High $3,890.45 | Facility | None | $1,023.29 | $1,288.25 | $3,890.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $512.86 Median $562.34 Typical High $1,862.09 | Professional | None | $512.86 | $562.34 | $1,862.09 |
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 $831.76 Median $1,288.25 Typical High $3,630.78 | Facility | None | $831.76 | $1,288.25 | $3,630.78 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $1,148.15 Typical High $2,454.71 | Professional | None | $616.60 | $1,148.15 | $2,454.71 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $2,187.76 Typical High $3,890.45 | Facility | None | $912.01 | $2,187.76 | $3,890.45 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $933.25 Median $1,096.48 Typical High $1,949.84 | Professional | None | $933.25 | $1,096.48 | $1,949.84 |
United Setting Professional Modifier None Typical Low $537.03 Median $776.25 Typical High $1,548.82 | Professional | None | $537.03 | $776.25 | $1,548.82 |
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 $512.86 Median $524.81 Typical High $954.99 | Professional | 52 · Reduced service | $512.86 | $524.81 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $208.93 Typical High $389.05 | Professional | 53 · Discontinued | $204.17 | $208.93 | $389.05 |
Where Indiana sits
The same service costs 4.9 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· 42nd of 51
$933
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.