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 $58.88 Median $67.61 Typical High $269.15 | Facility | None | $58.88 | $67.61 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $58.88 Typical High $331.13 | Professional | None | $53.70 | $58.88 | $331.13 |
Ambetter Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $44.67 | Professional | None | $38.90 | $38.90 | $44.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $57.54 Median $72.44 Typical High $218.78 | Facility | None | $57.54 | $72.44 | $218.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.84 Median $38.90 Typical High $93.33 | Professional | None | $28.84 | $38.90 | $93.33 |
CareSource Setting Facility Modifier None Typical Low $69.18 Median $70.79 Typical High $91.20 | Facility | None | $69.18 | $70.79 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $72.44 Typical High $204.17 | Facility | None | $46.77 | $72.44 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $64.57 Typical High $138.04 | Professional | None | $33.11 | $64.57 | $138.04 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $120.23 Median $181.97 Typical High $2,187.76 | Facility | None | $120.23 | $181.97 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $46.77 Median $60.26 Typical High $72.44 | Professional | None | $46.77 | $60.26 | $72.44 |
United Setting Professional Modifier None Typical Low $30.20 Median $43.65 Typical High $87.10 | Professional | None | $30.20 | $43.65 | $87.10 |
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 $26.92 Median $29.51 Typical High $165.96 | Professional | 52 · Reduced service | $26.92 | $29.51 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $11.75 Typical High $66.07 | Professional | 53 · Discontinued | $10.72 | $11.75 | $66.07 |
Where Indiana sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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· 45th of 51
$53.70
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.