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 $39.81 Median $81.28 Typical High $181.97 | Facility | None | $39.81 | $81.28 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $39.81 Typical High $218.78 | Professional | None | $37.15 | $39.81 | $218.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $38.90 Median $48.98 Typical High $147.91 | Facility | None | $38.90 | $48.98 | $147.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.44 Median $28.18 Typical High $67.61 | Professional | None | $23.44 | $28.18 | $67.61 |
CareSource Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $48.98 Typical High $165.96 | Facility | None | $31.62 | $48.98 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $31.62 Median $56.23 Typical High $131.83 | Professional | None | $31.62 | $56.23 | $131.83 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $69.18 Median $123.03 Typical High $2,187.76 | Facility | None | $69.18 | $123.03 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $32.36 Median $39.81 Typical High $44.67 | Professional | None | $32.36 | $39.81 | $44.67 |
United Setting Professional Modifier None Typical Low $20.42 Median $29.51 Typical High $58.88 | Professional | None | $20.42 | $29.51 | $58.88 |
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 $18.20 Median $19.95 Typical High $109.65 | Professional | 52 · Reduced service | $18.20 | $19.95 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.94 Typical High $43.65 | Professional | 53 · Discontinued | $7.41 | $7.94 | $43.65 |
Where Indiana sits
The same service costs 3.5 times more in Kansas than in Rhode Island. 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· 48th of 51
$38.02
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.