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 $30.20 Median $60.26 Typical High $134.90 | Facility | None | $30.20 | $60.26 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $27.54 Median $30.20 Typical High $169.82 | Professional | None | $27.54 | $30.20 | $169.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $28.84 Median $36.31 Typical High $109.65 | Facility | None | $28.84 | $36.31 | $109.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $18.20 Median $21.88 Typical High $64.57 | Professional | None | $18.20 | $21.88 | $64.57 |
CareSource Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $23.99 Median $41.69 Typical High $123.03 | Facility | None | $23.99 | $41.69 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $52.48 Typical High $154.88 | Professional | None | $33.11 | $52.48 | $154.88 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $66.07 Median $109.65 Typical High $2,187.76 | Facility | None | $66.07 | $109.65 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $23.99 Median $29.51 Typical High $33.88 | Professional | None | $23.99 | $29.51 | $33.88 |
United Setting Professional Modifier None Typical Low $15.49 Median $36.31 Typical High $48.98 | Professional | None | $15.49 | $36.31 | $48.98 |
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 $13.80 Median $15.14 Typical High $85.11 | Professional | 52 · Reduced service | $13.80 | $15.14 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $6.03 Typical High $33.88 | Professional | 53 · Discontinued | $5.50 | $6.03 | $33.88 |
Where Indiana sits
The same service costs 10.2 times more in Kansas 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· 45th of 51
$30.20
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.