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 $28.18 Median $52.48 Typical High $125.89 | Facility | None | $28.18 | $52.48 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $28.18 Typical High $74.13 | Professional | None | $25.70 | $28.18 | $74.13 |
Ambetter Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | None | $20.42 | $20.42 | $20.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.92 Median $33.88 Typical High $102.33 | Facility | None | $26.92 | $33.88 | $102.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.13 Median $19.05 Typical High $42.66 | Professional | None | $14.13 | $19.05 | $42.66 |
CareSource Setting Facility Modifier None Typical Low $33.11 Median $33.88 Typical High $42.66 | Facility | None | $33.11 | $33.88 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $33.88 Typical High $97.72 | Facility | None | $22.39 | $33.88 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $15.85 Median $30.90 Typical High $66.07 | Professional | None | $15.85 | $30.90 | $66.07 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $51.29 Median $85.11 Typical High $107.15 | Facility | None | $51.29 | $85.11 | $107.15 |
United Setting Professional Modifier None Typical Low $14.45 Median $20.89 Typical High $40.74 | Professional | None | $14.45 | $20.89 | $40.74 |
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 $12.88 Median $14.13 Typical High $37.15 | Professional | 52 · Reduced service | $12.88 | $14.13 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.62 Typical High $14.79 | Professional | 53 · Discontinued | $5.13 | $5.62 | $14.79 |
Where Indiana sits
The same service costs 4.2 times more in Alaska than in Oklahoma. 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· 44th of 51
$25.70
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.