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 $87.10 Median $158.49 Typical High $389.05 | Facility | None | $87.10 | $158.49 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $87.10 Typical High $181.97 | Professional | None | $79.43 | $87.10 | $181.97 |
Anthem BCBS Setting Facility Modifier None Typical Low $83.18 Median $107.15 Typical High $316.23 | Facility | None | $83.18 | $107.15 | $316.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.88 Median $44.67 Typical High $117.49 | Professional | None | $33.88 | $44.67 | $117.49 |
CareSource Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $107.15 Typical High $302.00 | Facility | None | $69.18 | $107.15 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $123.03 Typical High $204.17 | Professional | None | $40.74 | $123.03 | $204.17 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $154.88 Median $263.03 Typical High $2,187.76 | Facility | None | $154.88 | $263.03 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $69.18 Median $85.11 Typical High $97.72 | Professional | None | $69.18 | $85.11 | $97.72 |
United Setting Professional Modifier None Typical Low $44.67 Median $63.10 Typical High $128.82 | Professional | None | $44.67 | $63.10 | $128.82 |
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 $39.81 Median $43.65 Typical High $91.20 | Professional | 52 · Reduced service | $39.81 | $43.65 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $17.38 Typical High $36.31 | Professional | 53 · Discontinued | $15.85 | $17.38 | $36.31 |
Where Indiana sits
The same service costs 6.2 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· 44th of 51
$77.62
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.