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 $18.62 Median $38.02 Typical High $83.18 | Facility | None | $18.62 | $38.02 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $18.62 Typical High $120.23 | Professional | None | $16.98 | $18.62 | $120.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.78 Median $22.91 Typical High $67.61 | Facility | None | $17.78 | $22.91 | $67.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.55 Median $12.88 Typical High $31.62 | Professional | None | $9.55 | $12.88 | $31.62 |
CareSource Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Facility | None | $28.18 | $28.18 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $16.22 Median $28.18 Typical High $75.86 | Facility | None | $16.22 | $28.18 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $14.45 Median $32.36 Typical High $57.54 | Professional | None | $14.45 | $32.36 | $57.54 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $40.74 Median $56.23 Typical High $2,187.76 | Facility | None | $40.74 | $56.23 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $14.79 Median $18.20 Typical High $20.89 | Professional | None | $14.79 | $18.20 | $20.89 |
United Setting Professional Modifier None Typical Low $9.55 Median $19.05 Typical High $27.54 | Professional | None | $9.55 | $19.05 | $27.54 |
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 $8.51 Median $9.33 Typical High $60.26 | Professional | 52 · Reduced service | $8.51 | $9.33 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.72 Typical High $23.99 | Professional | 53 · Discontinued | $3.39 | $3.72 | $23.99 |
Where Indiana sits
The same service costs 4.2 times more in Kansas than in Nebraska. 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· 45th of 51
$18.20
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.