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 $54.95 Median $79.43 Typical High $239.88 | Facility | None | $54.95 | $79.43 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $52.48 Typical High $107.15 | Professional | None | $47.86 | $52.48 | $107.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $51.29 Median $64.57 Typical High $194.98 | Facility | None | $51.29 | $64.57 | $194.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $30.20 Median $36.31 Typical High $75.86 | Professional | None | $30.20 | $36.31 | $75.86 |
CareSource Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $41.69 Median $64.57 Typical High $213.80 | Facility | None | $41.69 | $64.57 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $74.13 Typical High $138.04 | Professional | None | $40.74 | $74.13 | $138.04 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $114.82 Median $162.18 Typical High $2,187.76 | Facility | None | $114.82 | $162.18 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $41.69 Median $52.48 Typical High $58.88 | Professional | None | $41.69 | $52.48 | $58.88 |
United Setting Professional Modifier None Typical Low $26.92 Median $52.48 Typical High $77.62 | Professional | None | $26.92 | $52.48 | $77.62 |
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 $23.99 Median $26.30 Typical High $234.42 | Professional | 52 · Reduced service | $23.99 | $26.30 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $10.47 Typical High $93.33 | Professional | 53 · Discontinued | $9.55 | $10.47 | $93.33 |
Where Indiana sits
The same service costs 3.8 times more in Alaska than in Kentucky. 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· 47th of 51
$51.29
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.