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 $23.44 Median $47.86 Typical High $107.15 | Facility | None | $23.44 | $47.86 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $23.44 Typical High $229.09 | Professional | None | $21.38 | $23.44 | $229.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $22.91 Median $28.84 Typical High $87.10 | Facility | None | $22.91 | $28.84 | $87.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.13 Median $17.38 Typical High $39.81 | Professional | None | $14.13 | $17.38 | $39.81 |
CareSource Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $28.84 Typical High $95.50 | Facility | None | $18.62 | $28.84 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $36.31 Typical High $77.62 | Professional | None | $18.20 | $36.31 | $77.62 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $52.48 Median $72.44 Typical High $2,187.76 | Facility | None | $52.48 | $72.44 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $18.62 Median $23.44 Typical High $26.30 | Professional | None | $18.62 | $23.44 | $26.30 |
United Setting Professional Modifier None Typical Low $12.02 Median $23.99 Typical High $34.67 | Professional | None | $12.02 | $23.99 | $34.67 |
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 $10.72 Median $11.75 Typical High $114.82 | Professional | 52 · Reduced service | $10.72 | $11.75 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $4.68 Typical High $45.71 | Professional | 53 · Discontinued | $4.37 | $4.68 | $45.71 |
Where Indiana sits
The same service costs 5.5 times more in Kansas than in Alabama. 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· 43rd of 51
$22.91
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.