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 $77.62 Median $144.54 Typical High $354.81 | Facility | None | $77.62 | $144.54 | $354.81 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $77.62 Typical High $223.87 | Professional | None | $72.44 | $77.62 | $223.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $75.86 Median $95.50 Typical High $288.40 | Facility | None | $75.86 | $95.50 | $288.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $39.81 Median $53.70 Typical High $123.03 | Professional | None | $39.81 | $53.70 | $123.03 |
CareSource Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $95.50 Typical High $269.15 | Facility | None | $61.66 | $95.50 | $269.15 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $85.11 Typical High $181.97 | Professional | None | $52.48 | $85.11 | $181.97 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $144.54 Median $239.88 Typical High $302.00 | Facility | None | $144.54 | $239.88 | $302.00 |
United Setting Professional Modifier None Typical Low $39.81 Median $66.07 Typical High $114.82 | Professional | None | $39.81 | $66.07 | $114.82 |
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 $35.48 Median $38.90 Typical High $112.20 | Professional | 52 · Reduced service | $35.48 | $38.90 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $15.85 Typical High $44.67 | Professional | 53 · Discontinued | $14.45 | $15.85 | $44.67 |
Where Indiana sits
The same service costs 5.4 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· 45th of 51
$72.44
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.