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 $776.25 Median $1,412.54 Typical High $3,467.37 | Facility | None | $776.25 | $1,412.54 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $776.25 Typical High $1,412.54 | Professional | None | $707.95 | $776.25 | $1,412.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $741.31 Median $933.25 Typical High $2,818.38 | Facility | None | $741.31 | $933.25 | $2,818.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $371.54 Median $407.38 Typical High $1,412.54 | Professional | None | $371.54 | $407.38 | $1,412.54 |
CareSource Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $933.25 Typical High $2,630.27 | Facility | None | $602.56 | $933.25 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $851.14 Typical High $1,778.28 | Professional | None | $446.68 | $851.14 | $1,778.28 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $1,584.89 Typical High $2,818.38 | Facility | None | $912.01 | $1,584.89 | $2,818.38 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $676.08 Median $794.33 Typical High $1,445.44 | Professional | None | $676.08 | $794.33 | $1,445.44 |
United Setting Professional Modifier None Typical Low $389.05 Median $562.34 Typical High $1,122.02 | Professional | None | $389.05 | $562.34 | $1,122.02 |
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 $371.54 Median $380.19 Typical High $707.95 | Professional | 52 · Reduced service | $371.54 | $380.19 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $154.88 Typical High $281.84 | Professional | 53 · Discontinued | $151.36 | $154.88 | $281.84 |
Where Indiana sits
The same service costs 3.7 times more in Alaska 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· 43rd of 51
$692
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.