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 $72.44 Median $131.83 Typical High $323.59 | Facility | None | $72.44 | $131.83 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $72.44 Typical High $131.83 | Professional | None | $66.07 | $72.44 | $131.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $69.18 Median $87.10 Typical High $263.03 | Facility | None | $69.18 | $87.10 | $263.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $31.62 Median $41.69 Typical High $97.72 | Professional | None | $31.62 | $41.69 | $97.72 |
CareSource Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $87.10 Typical High $251.19 | Facility | None | $57.54 | $87.10 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $102.33 Typical High $173.78 | Professional | None | $40.74 | $102.33 | $173.78 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $144.54 Median $218.78 Typical High $2,187.76 | Facility | None | $144.54 | $218.78 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $57.54 Median $70.79 Typical High $81.28 | Professional | None | $57.54 | $70.79 | $81.28 |
United Setting Professional Modifier None Typical Low $37.15 Median $53.70 Typical High $104.71 | Professional | None | $37.15 | $53.70 | $104.71 |
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 $33.11 Median $36.31 Typical High $66.07 | Professional | 52 · Reduced service | $33.11 | $36.31 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $14.45 Typical High $26.30 | Professional | 53 · Discontinued | $13.18 | $14.45 | $26.30 |
Where Indiana sits
The same service costs 4.2 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· 40th of 51
$66.07
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.