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 $144.54 Median $269.15 Typical High $660.69 | Facility | None | $144.54 | $269.15 | $660.69 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $144.54 Typical High $645.65 | Professional | None | $131.83 | $144.54 | $645.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $141.25 Median $177.83 Typical High $537.03 | Facility | None | $141.25 | $177.83 | $537.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $70.79 Median $95.50 Typical High $194.98 | Professional | None | $70.79 | $95.50 | $194.98 |
CareSource Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $177.83 Typical High $501.19 | Facility | None | $114.82 | $177.83 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $158.49 Typical High $338.84 | Professional | None | $79.43 | $158.49 | $338.84 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $208.93 Median $446.68 Typical High $2,187.76 | Facility | None | $208.93 | $446.68 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $114.82 Median $144.54 Typical High $162.18 | Professional | None | $114.82 | $144.54 | $162.18 |
United Setting Professional Modifier None Typical Low $72.44 Median $107.15 Typical High $213.80 | Professional | None | $72.44 | $107.15 | $213.80 |
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 $66.07 Median $72.44 Typical High $323.59 | Professional | 52 · Reduced service | $66.07 | $72.44 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $28.84 Typical High $128.82 | Professional | 53 · Discontinued | $26.92 | $28.84 | $128.82 |
Where Indiana sits
The same service costs 4.4 times more in Alaska than in Oklahoma. 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
$132
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.