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 $23.44 Median $43.65 Typical High $104.71 | Facility | None | $23.44 | $43.65 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $23.44 Typical High $74.13 | Professional | None | $21.38 | $23.44 | $74.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $22.39 Median $28.18 Typical High $85.11 | Facility | None | $22.39 | $28.18 | $85.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.88 Median $17.38 Typical High $36.31 | Professional | None | $12.88 | $17.38 | $36.31 |
CareSource Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $28.18 Typical High $87.10 | Facility | None | $18.62 | $28.18 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $16.60 Median $28.84 Typical High $70.79 | Professional | None | $16.60 | $28.84 | $70.79 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $20.42 Median $70.79 Typical High $2,187.76 | Facility | None | $20.42 | $70.79 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $18.62 Median $22.91 Typical High $26.30 | Professional | None | $18.62 | $22.91 | $26.30 |
United Setting Professional Modifier None Typical Low $7.08 Median $16.98 Typical High $34.67 | Professional | None | $7.08 | $16.98 | $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 $10.72 Median $11.75 Typical High $37.15 | Professional | 52 · Reduced service | $10.72 | $11.75 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $4.68 Typical High $14.79 | Professional | 53 · Discontinued | $4.27 | $4.68 | $14.79 |
Where Indiana sits
The same service costs 4.8 times more in Kansas than in Texas. 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· 42nd 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.