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 $44.67 Median $81.28 Typical High $199.53 | Facility | None | $44.67 | $81.28 | $199.53 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $44.67 Typical High $263.03 | Professional | None | $40.74 | $44.67 | $263.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $42.66 Median $53.70 Typical High $162.18 | Facility | None | $42.66 | $53.70 | $162.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.13 Median $21.88 Typical High $60.26 | Professional | None | $14.13 | $21.88 | $60.26 |
CareSource Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $53.70 Typical High $154.88 | Facility | None | $35.48 | $53.70 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $18.62 Median $48.98 Typical High $104.71 | Professional | None | $18.62 | $48.98 | $104.71 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $89.13 Median $134.90 Typical High $2,187.76 | Facility | None | $89.13 | $134.90 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $35.48 Median $43.65 Typical High $50.12 | Professional | None | $35.48 | $43.65 | $50.12 |
United Setting Professional Modifier None Typical Low $22.91 Median $32.36 Typical High $64.57 | Professional | None | $22.91 | $32.36 | $64.57 |
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 $20.42 Median $22.39 Typical High $131.83 | Professional | 52 · Reduced service | $20.42 | $22.39 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $8.91 Typical High $52.48 | Professional | 53 · Discontinued | $8.13 | $8.91 | $52.48 |
Where Indiana sits
The same service costs 5.6 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· 44th of 51
$37.15
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.