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 $67.61 Median $123.03 Typical High $302.00 | Facility | None | $67.61 | $123.03 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $67.61 Typical High $338.84 | Professional | None | $61.66 | $67.61 | $338.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $64.57 Median $81.28 Typical High $245.47 | Facility | None | $64.57 | $81.28 | $245.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.88 Median $45.71 Typical High $102.33 | Professional | None | $33.88 | $45.71 | $102.33 |
CareSource Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $81.28 Typical High $234.42 | Facility | None | $53.70 | $81.28 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $74.13 Typical High $177.83 | Professional | None | $43.65 | $74.13 | $177.83 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $123.03 Median $204.17 Typical High $257.04 | Facility | None | $123.03 | $204.17 | $257.04 |
United Setting Professional Modifier None Typical Low $34.67 Median $56.23 Typical High $97.72 | Professional | None | $34.67 | $56.23 | $97.72 |
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 $30.90 Median $33.88 Typical High $169.82 | Professional | 52 · Reduced service | $30.90 | $33.88 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $13.49 Typical High $69.18 | Professional | 53 · Discontinued | $12.30 | $13.49 | $69.18 |
Where Indiana sits
The same service costs 4.9 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
$61.66
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.