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 $295.12 Median $501.19 Typical High $1,318.26 | Facility | None | $295.12 | $501.19 | $1,318.26 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $295.12 Typical High $1,047.13 | Professional | None | $269.15 | $295.12 | $1,047.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $281.84 Median $354.81 Typical High $1,071.52 | Facility | None | $281.84 | $354.81 | $1,071.52 |
Anthem BCBS Setting Professional Modifier None Typical Low $177.83 Median $218.78 Typical High $467.74 | Professional | None | $177.83 | $218.78 | $467.74 |
CareSource Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $354.81 Typical High $1,202.26 | Facility | None | $234.42 | $354.81 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $323.59 Typical High $776.25 | Professional | None | $234.42 | $323.59 | $776.25 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $537.03 Median $891.25 Typical High $1,122.02 | Facility | None | $537.03 | $891.25 | $1,122.02 |
United Setting Professional Modifier None Typical Low $151.36 Median $295.12 Typical High $426.58 | Professional | None | $151.36 | $295.12 | $426.58 |
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 $134.90 Median $147.91 Typical High $524.81 | Professional | 52 · Reduced service | $134.90 | $147.91 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $58.88 Typical High $208.93 | Professional | 53 · Discontinued | $53.70 | $58.88 | $208.93 |
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· 44th of 51
$288
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.