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 $30.90 Median $41.69 Typical High $138.04 | Facility | None | $30.90 | $41.69 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $30.90 Typical High $524.81 | Professional | None | $18.20 | $30.90 | $524.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $29.51 Median $38.02 Typical High $91.20 | Facility | None | $29.51 | $38.02 | $91.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.79 Median $12.02 Typical High $41.69 | Professional | None | $4.79 | $12.02 | $41.69 |
CareSource Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $70.79 Typical High $107.15 | Facility | None | $24.55 | $70.79 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $15.85 Median $38.90 Typical High $72.44 | Professional | None | $15.85 | $38.90 | $72.44 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $20.42 Median $114.82 Typical High $2,187.76 | Facility | None | $20.42 | $114.82 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $23.99 Median $30.90 Typical High $42.66 | Professional | None | $23.99 | $30.90 | $42.66 |
United Setting Professional Modifier None Typical Low $5.01 Median $7.24 Typical High $22.39 | Professional | None | $5.01 | $7.24 | $22.39 |
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 $9.12 Median $15.49 Typical High $257.04 | Professional | 52 · Reduced service | $9.12 | $15.49 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $6.17 Typical High $104.71 | Professional | 53 · Discontinued | $3.63 | $6.17 | $104.71 |
Where Indiana sits
The same service costs 10.0 times more in Alaska than in New Jersey. 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· 27th of 51
$21.38
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.