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 $645.65 Median $1,202.26 Typical High $2,951.21 | Facility | None | $645.65 | $1,202.26 | $2,951.21 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $645.65 Typical High $1,202.26 | Professional | None | $630.96 | $645.65 | $1,202.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $630.96 Median $794.33 Typical High $2,398.83 | Facility | None | $630.96 | $794.33 | $2,398.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $501.19 Median $645.65 Typical High $977.24 | Professional | None | $501.19 | $645.65 | $977.24 |
CareSource Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $794.33 Typical High $2,238.72 | Facility | None | $512.86 | $794.33 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $741.31 Typical High $1,513.56 | Professional | None | $380.19 | $741.31 | $1,513.56 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $1,995.26 Typical High $2,398.83 | Facility | None | $912.01 | $1,995.26 | $2,398.83 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $575.44 Median $676.08 Typical High $1,230.27 | Professional | None | $575.44 | $676.08 | $1,230.27 |
United Setting Professional Modifier None Typical Low $331.13 Median $478.63 Typical High $954.99 | Professional | None | $331.13 | $478.63 | $954.99 |
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 $316.23 Median $323.59 Typical High $602.56 | Professional | 52 · Reduced service | $316.23 | $323.59 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $131.83 Typical High $239.88 | Professional | 53 · Discontinued | $125.89 | $131.83 | $239.88 |
Where Indiana sits
The same service costs 3.7 times more in Alaska than in Kentucky. 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· 31st of 51
$646
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.