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 $58.88 Median $107.15 Typical High $263.03 | Facility | None | $58.88 | $107.15 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $58.88 Typical High $144.54 | Professional | None | $53.70 | $58.88 | $144.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $56.23 Median $70.79 Typical High $213.80 | Facility | None | $56.23 | $70.79 | $213.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $27.54 Median $36.31 Typical High $77.62 | Professional | None | $27.54 | $36.31 | $77.62 |
CareSource Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $70.79 Typical High $204.17 | Facility | None | $38.02 | $70.79 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $66.07 Typical High $138.04 | Professional | None | $33.11 | $66.07 | $138.04 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $28.84 Median $177.83 Typical High $2,187.76 | Facility | None | $28.84 | $177.83 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $46.77 Median $57.54 Typical High $66.07 | Professional | None | $46.77 | $57.54 | $66.07 |
United Setting Professional Modifier None Typical Low $10.47 Median $42.66 Typical High $85.11 | Professional | None | $10.47 | $42.66 | $85.11 |
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 $26.92 Median $29.51 Typical High $72.44 | Professional | 52 · Reduced service | $26.92 | $29.51 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $11.75 Typical High $29.51 | Professional | 53 · Discontinued | $10.72 | $11.75 | $29.51 |
Where Indiana sits
The same service costs 3.5 times more in Alaska than in Kentucky. 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
$51.29
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.