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 $53.70 Median $107.15 Typical High $239.88 | Facility | None | $53.70 | $107.15 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $53.70 Typical High $112.20 | Professional | None | $48.98 | $53.70 | $112.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $51.29 Median $64.57 Typical High $194.98 | Facility | None | $51.29 | $64.57 | $194.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $31.62 Median $38.90 Typical High $89.13 | Professional | None | $31.62 | $38.90 | $89.13 |
CareSource Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $64.57 Typical High $218.78 | Facility | None | $42.66 | $64.57 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $81.28 Typical High $177.83 | Professional | None | $41.69 | $81.28 | $177.83 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $117.49 Median $162.18 Typical High $2,187.76 | Facility | None | $117.49 | $162.18 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $42.66 Median $52.48 Typical High $60.26 | Professional | None | $42.66 | $52.48 | $60.26 |
United Setting Professional Modifier None Typical Low $27.54 Median $53.70 Typical High $77.62 | Professional | None | $27.54 | $53.70 | $77.62 |
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 $24.55 Median $26.30 Typical High $54.95 | Professional | 52 · Reduced service | $24.55 | $26.30 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $10.72 Typical High $22.39 | Professional | 53 · Discontinued | $9.77 | $10.72 | $22.39 |
Where Indiana sits
The same service costs 3.0 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· 47th of 51
$52.48
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.