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 $18.20 Median $36.31 Typical High $81.28 | Facility | None | $18.20 | $36.31 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $18.20 Typical High $141.25 | Professional | None | $16.60 | $18.20 | $141.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.38 Median $21.88 Typical High $66.07 | Facility | None | $17.38 | $21.88 | $66.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.96 Median $13.18 Typical High $30.20 | Professional | None | $10.96 | $13.18 | $30.20 |
CareSource Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Facility | None | $27.54 | $27.54 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $22.39 Typical High $74.13 | Facility | None | $15.85 | $22.39 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $31.62 Typical High $56.23 | Professional | None | $14.13 | $31.62 | $56.23 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $39.81 Median $54.95 Typical High $2,187.76 | Facility | None | $39.81 | $54.95 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $14.45 Median $17.78 Typical High $19.95 | Professional | None | $14.45 | $17.78 | $19.95 |
United Setting Professional Modifier None Typical Low $9.33 Median $18.62 Typical High $26.30 | Professional | None | $9.33 | $18.62 | $26.30 |
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 $8.32 Median $9.12 Typical High $70.79 | Professional | 52 · Reduced service | $8.32 | $9.12 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $3.63 Typical High $28.18 | Professional | 53 · Discontinued | $3.31 | $3.63 | $28.18 |
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· 40th of 51
$17.78
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.