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 $36.31 Median $66.07 Typical High $162.18 | Facility | None | $36.31 | $66.07 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $36.31 Typical High $66.07 | Professional | None | $33.11 | $36.31 | $66.07 |
Ambetter Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $27.54 | Professional | None | $23.99 | $23.99 | $27.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $34.67 Median $44.67 Typical High $131.83 | Facility | None | $34.67 | $44.67 | $131.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.08 Median $15.14 Typical High $48.98 | Professional | None | $7.08 | $15.14 | $48.98 |
CareSource Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $44.67 Typical High $125.89 | Facility | None | $28.84 | $44.67 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $35.48 Typical High $85.11 | Professional | None | $8.71 | $35.48 | $85.11 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $30.20 Median $109.65 Typical High $2,187.76 | Facility | None | $30.20 | $109.65 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $28.84 Median $36.31 Typical High $45.71 | Professional | None | $28.84 | $36.31 | $45.71 |
United Setting Professional Modifier None Typical Low $10.72 Median $20.42 Typical High $53.70 | Professional | None | $10.72 | $20.42 | $53.70 |
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 $16.60 Median $18.20 Typical High $33.11 | Professional | 52 · Reduced service | $16.60 | $18.20 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $7.24 Typical High $13.18 | Professional | 53 · Discontinued | $6.61 | $7.24 | $13.18 |
Where Indiana sits
The same service costs 5.4 times more in Alaska than in Georgia. 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· 36th of 51
$30.20
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.