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 $33.88 Typical High $100.00 | Facility | None | $23.44 | $33.88 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $22.39 Typical High $138.04 | Professional | None | $19.50 | $22.39 | $138.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $21.88 Median $27.54 Typical High $81.28 | Facility | None | $21.88 | $27.54 | $81.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.55 Median $11.75 Typical High $30.20 | Professional | None | $9.55 | $11.75 | $30.20 |
CareSource Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Facility | None | $33.88 | $33.88 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $17.78 Median $27.54 Typical High $77.62 | Facility | None | $17.78 | $27.54 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $31.62 Typical High $54.95 | Professional | None | $12.88 | $31.62 | $54.95 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $45.71 Median $69.18 Typical High $2,187.76 | Facility | None | $45.71 | $69.18 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $17.78 Median $21.88 Typical High $24.55 | Professional | None | $17.78 | $21.88 | $24.55 |
United Setting Professional Modifier None Typical Low $11.48 Median $16.98 Typical High $33.11 | Professional | None | $11.48 | $16.98 | $33.11 |
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 $10.23 Median $11.22 Typical High $69.18 | Professional | 52 · Reduced service | $10.23 | $11.22 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.47 Typical High $27.54 | Professional | 53 · Discontinued | $4.07 | $4.47 | $27.54 |
Where Indiana sits
The same service costs 3.5 times more in Alaska than in Alabama. 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· 46th of 51
$20.89
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.