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 $1,230.27 Median $2,238.72 Typical High $5,495.41 | Facility | None | $1,230.27 | $2,238.72 | $5,495.41 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,230.27 Typical High $3,311.31 | Professional | None | $1,122.02 | $1,230.27 | $3,311.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,174.90 Median $1,479.11 Typical High $4,466.84 | Facility | None | $1,174.90 | $1,479.11 | $4,466.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.88 Median $51.29 Typical High $1,621.81 | Professional | None | $33.88 | $51.29 | $1,621.81 |
CareSource Setting Facility Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,862.09 | $1,862.09 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $977.24 Median $1,479.11 Typical High $4,168.69 | Facility | None | $977.24 | $1,479.11 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $1,348.96 Typical High $2,884.03 | Professional | None | $44.67 | $1,348.96 | $2,884.03 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $2,454.71 Typical High $4,466.84 | Facility | None | $912.01 | $2,454.71 | $4,466.84 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $977.24 Median $1,202.26 Typical High $1,380.38 | Professional | None | $977.24 | $1,202.26 | $1,380.38 |
United Setting Professional Modifier None Typical Low $630.96 Median $891.25 Typical High $1,778.28 | Professional | None | $630.96 | $891.25 | $1,778.28 |
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 $562.34 Median $616.60 Typical High $1,659.59 | Professional | 52 · Reduced service | $562.34 | $616.60 | $1,659.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $245.47 Typical High $660.69 | Professional | 53 · Discontinued | $223.87 | $245.47 | $660.69 |
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· 39th of 51
$1,023
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.