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 $61.66 Median $112.20 Typical High $281.84 | Facility | None | $61.66 | $112.20 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $61.66 Typical High $112.20 | Professional | None | $56.23 | $61.66 | $112.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $60.26 Median $75.86 Typical High $229.09 | Facility | None | $60.26 | $75.86 | $229.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.02 Median $16.22 Typical High $83.18 | Professional | None | $12.02 | $16.22 | $83.18 |
CareSource Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $75.86 Typical High $213.80 | Facility | None | $48.98 | $75.86 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $54.95 Typical High $144.54 | Professional | None | $14.13 | $54.95 | $144.54 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $51.29 Median $190.55 Typical High $2,187.76 | Facility | None | $51.29 | $190.55 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $54.95 Median $64.57 Typical High $114.82 | Professional | None | $54.95 | $64.57 | $114.82 |
United Setting Professional Modifier None Typical Low $17.78 Median $45.71 Typical High $91.20 | Professional | None | $17.78 | $45.71 | $91.20 |
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 $28.18 Median $30.90 Typical High $56.23 | Professional | 52 · Reduced service | $28.18 | $30.90 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $12.30 Typical High $22.91 | Professional | 53 · Discontinued | $11.22 | $12.30 | $22.91 |
Where Indiana sits
The same service costs 6.0 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· 37th of 51
$45.71
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.