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 $52.48 Median $89.13 Typical High $234.42 | Facility | None | $52.48 | $89.13 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $52.48 Typical High $239.88 | Professional | None | $47.86 | $52.48 | $239.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $51.29 Median $64.57 Typical High $190.55 | Facility | None | $51.29 | $64.57 | $190.55 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.88 Median $28.84 Typical High $70.79 | Professional | None | $21.88 | $28.84 | $70.79 |
CareSource Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $41.69 Median $64.57 Typical High $181.97 | Facility | None | $41.69 | $64.57 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $57.54 Typical High $123.03 | Professional | None | $25.70 | $57.54 | $123.03 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $95.50 Median $162.18 Typical High $204.17 | Facility | None | $95.50 | $162.18 | $204.17 |
United Setting Professional Modifier None Typical Low $26.92 Median $38.90 Typical High $77.62 | Professional | None | $26.92 | $38.90 | $77.62 |
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 $23.99 Median $26.30 Typical High $120.23 | Professional | 52 · Reduced service | $23.99 | $26.30 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $10.47 Typical High $47.86 | Professional | 53 · Discontinued | $9.55 | $10.47 | $47.86 |
Where Indiana sits
The same service costs 6.0 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· 40th of 51
$47.86
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.