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 $154.88 Median $281.84 Typical High $691.83 | Facility | None | $154.88 | $281.84 | $691.83 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $154.88 Typical High $363.08 | Professional | None | $141.25 | $154.88 | $363.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $151.36 Median $190.55 Typical High $562.34 | Facility | None | $151.36 | $190.55 | $562.34 |
Anthem BCBS Setting Professional Modifier None Typical Low $27.54 Median $50.12 Typical High $208.93 | Professional | None | $27.54 | $50.12 | $208.93 |
CareSource Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $190.55 Typical High $537.03 | Facility | None | $74.13 | $190.55 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $131.83 Typical High $363.08 | Professional | None | $33.11 | $131.83 | $363.08 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $125.89 Median $478.63 Typical High $2,187.76 | Facility | None | $125.89 | $478.63 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $123.03 Median $151.36 Typical High $173.78 | Professional | None | $123.03 | $151.36 | $173.78 |
United Setting Professional Modifier None Typical Low $42.66 Median $95.50 Typical High $229.09 | Professional | None | $42.66 | $95.50 | $229.09 |
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 $70.79 Median $77.62 Typical High $177.83 | Professional | 52 · Reduced service | $70.79 | $77.62 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $30.90 Typical High $72.44 | Professional | 53 · Discontinued | $28.18 | $30.90 | $72.44 |
Where Indiana sits
The same service costs 11.2 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· 28th of 51
$132
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.