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 $64.57 Median $117.49 Typical High $288.40 | Facility | None | $64.57 | $117.49 | $288.40 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $64.57 Typical High $245.47 | Professional | None | $58.88 | $64.57 | $245.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $61.66 Median $79.43 Typical High $234.42 | Facility | None | $61.66 | $79.43 | $234.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $20.89 Median $31.62 Typical High $87.10 | Professional | None | $20.89 | $31.62 | $87.10 |
CareSource Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $79.43 Typical High $223.87 | Facility | None | $51.29 | $79.43 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $75.86 Typical High $151.36 | Professional | None | $26.30 | $75.86 | $151.36 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $95.50 Median $194.98 Typical High $2,187.76 | Facility | None | $95.50 | $194.98 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $51.29 Median $63.10 Typical High $72.44 | Professional | None | $51.29 | $63.10 | $72.44 |
United Setting Professional Modifier None Typical Low $32.36 Median $46.77 Typical High $93.33 | Professional | None | $32.36 | $46.77 | $93.33 |
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 $29.51 Median $32.36 Typical High $123.03 | Professional | 52 · Reduced service | $29.51 | $32.36 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $12.88 Typical High $50.12 | Professional | 53 · Discontinued | $11.75 | $12.88 | $50.12 |
Where Indiana sits
The same service costs 4.9 times more in Alaska than in Kansas. 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· 39th of 51
$54.95
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.