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 $41.69 Median $63.10 Typical High $186.21 | Facility | None | $41.69 | $63.10 | $186.21 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $41.69 Typical High $102.33 | Professional | None | $38.02 | $41.69 | $102.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $39.81 Median $51.29 Typical High $151.36 | Facility | None | $39.81 | $51.29 | $151.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.12 Median $16.22 Typical High $56.23 | Professional | None | $9.12 | $16.22 | $56.23 |
CareSource Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
CareSource Setting Professional Modifier None Typical Low $33.11 Median $51.29 Typical High $58.88 | Professional | None | $33.11 | $51.29 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $51.29 Typical High $144.54 | Facility | None | $33.11 | $51.29 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $46.77 Typical High $97.72 | Professional | None | $14.13 | $46.77 | $97.72 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $69.18 Median $125.89 Typical High $2,187.76 | Facility | None | $69.18 | $125.89 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $33.11 Median $40.74 Typical High $46.77 | Professional | None | $33.11 | $40.74 | $46.77 |
United Setting Professional Modifier None Typical Low $11.22 Median $27.54 Typical High $61.66 | Professional | None | $11.22 | $27.54 | $61.66 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier GY · Excluded by law Typical Low $27.54 Median $27.54 Typical High $31.62 | Professional | GY · Excluded by law | $27.54 | $27.54 | $31.62 |
Where Indiana sits
The same service costs 5.0 times more in Alaska than in Georgia. 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· 39th of 51
$36.31
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.