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 $23.99 Median $43.65 Typical High $107.15 | Facility | None | $23.99 | $43.65 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $23.99 Typical High $173.78 | Professional | None | $21.88 | $23.99 | $173.78 |
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 $12.30 Median $16.60 Typical High $34.67 | Professional | None | $12.30 | $16.60 | $34.67 |
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 $19.05 Median $31.62 Typical High $83.18 | Facility | None | $19.05 | $31.62 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $15.85 Median $35.48 Typical High $63.10 | Professional | None | $15.85 | $35.48 | $63.10 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $51.29 Median $72.44 Typical High $2,187.76 | Facility | None | $51.29 | $72.44 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $19.05 Median $23.44 Typical High $26.30 | Professional | None | $19.05 | $23.44 | $26.30 |
United Setting Professional Modifier None Typical Low $12.30 Median $19.95 Typical High $34.67 | Professional | None | $12.30 | $19.95 | $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 $10.96 Median $12.02 Typical High $87.10 | Professional | 52 · Reduced service | $10.96 | $12.02 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $4.79 Typical High $34.67 | Professional | 53 · Discontinued | $4.37 | $4.79 | $34.67 |
Where Indiana sits
The same service costs 3.5 times more in Alaska 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· 46th of 51
$21.88
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.