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 $57.54 Median $104.71 Typical High $257.04 | Facility | None | $57.54 | $104.71 | $257.04 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $57.54 Typical High $794.33 | Professional | None | $52.48 | $57.54 | $794.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $54.95 Median $69.18 Typical High $208.93 | Facility | None | $54.95 | $69.18 | $208.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $27.54 Median $37.15 Typical High $97.72 | Professional | None | $27.54 | $37.15 | $97.72 |
CareSource Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $69.18 Typical High $194.98 | Facility | None | $45.71 | $69.18 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $64.57 Typical High $134.90 | Professional | None | $36.31 | $64.57 | $134.90 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $114.82 Median $173.78 Typical High $2,187.76 | Facility | None | $114.82 | $173.78 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $45.71 Median $56.23 Typical High $64.57 | Professional | None | $45.71 | $56.23 | $64.57 |
United Setting Professional Modifier None Typical Low $29.51 Median $41.69 Typical High $83.18 | Professional | None | $29.51 | $41.69 | $83.18 |
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 $26.30 Median $28.18 Typical High $398.11 | Professional | 52 · Reduced service | $26.30 | $28.18 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $11.48 Typical High $158.49 | Professional | 53 · Discontinued | $10.47 | $11.48 | $158.49 |
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· 46th of 51
$52.48
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.