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 $263.03 Median $446.68 Typical High $1,202.26 | Facility | None | $263.03 | $446.68 | $1,202.26 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $263.03 Typical High $489.78 | Professional | None | $245.47 | $263.03 | $489.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $257.04 Median $323.59 Typical High $977.24 | Facility | None | $257.04 | $323.59 | $977.24 |
Anthem BCBS Setting Professional Modifier None Typical Low $69.18 Median $128.82 Typical High $354.81 | Professional | None | $69.18 | $128.82 | $354.81 |
CareSource Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
CareSource Setting Professional Modifier None Typical Low $208.93 Median $323.59 Typical High $371.54 | Professional | None | $208.93 | $323.59 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $323.59 Typical High $912.01 | Facility | None | $208.93 | $323.59 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $275.42 Typical High $616.60 | Professional | None | $85.11 | $275.42 | $616.60 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $489.78 Median $812.83 Typical High $1,023.29 | Facility | None | $489.78 | $812.83 | $1,023.29 |
United Setting Professional Modifier None Typical Low $102.33 Median $173.78 Typical High $389.05 | Professional | None | $102.33 | $173.78 | $389.05 |
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 $120.23 Median $131.83 Typical High $245.47 | Professional | 52 · Reduced service | $120.23 | $131.83 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $53.70 Typical High $97.72 | Professional | 53 · Discontinued | $48.98 | $53.70 | $97.72 |
Where Indiana sits
The same service costs 7.9 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· 36th of 51
$224
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.