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 $741.31 Median $1,348.96 Typical High $3,311.31 | Facility | None | $741.31 | $1,348.96 | $3,311.31 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $741.31 Typical High $1,348.96 | Professional | None | $676.08 | $741.31 | $1,348.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $707.95 Median $891.25 Typical High $2,691.53 | Facility | None | $707.95 | $891.25 | $2,691.53 |
Anthem BCBS Setting Professional Modifier None Typical Low $48.98 Median $64.57 Typical High $977.24 | Professional | None | $48.98 | $64.57 | $977.24 |
CareSource Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,122.02 | $1,122.02 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $891.25 Typical High $2,570.40 | Facility | None | $588.84 | $891.25 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $812.83 Typical High $1,737.80 | Professional | None | $64.57 | $812.83 | $1,737.80 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $1,513.56 Typical High $2,691.53 | Facility | None | $912.01 | $1,513.56 | $2,691.53 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $645.65 Median $758.58 Typical High $1,380.38 | Professional | None | $645.65 | $758.58 | $1,380.38 |
United Setting Professional Modifier None Typical Low $380.19 Median $537.03 Typical High $1,071.52 | Professional | None | $380.19 | $537.03 | $1,071.52 |
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 $338.84 Median $371.54 Typical High $676.08 | Professional | 52 · Reduced service | $338.84 | $371.54 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $147.91 Typical High $269.15 | Professional | 53 · Discontinued | $134.90 | $147.91 | $269.15 |
Where Indiana sits
The same service costs 5.6 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· 39th of 51
$617
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.