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 $537.03 Typical High $1,202.26 | Facility | None | $263.03 | $537.03 | $1,202.26 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $263.03 Typical High $954.99 | Professional | None | $239.88 | $263.03 | $954.99 |
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 $158.49 Median $194.98 Typical High $416.87 | Professional | None | $158.49 | $194.98 | $416.87 |
CareSource Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $323.59 Typical High $1,071.52 | Facility | None | $208.93 | $323.59 | $1,071.52 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $288.40 Typical High $707.95 | Professional | None | $208.93 | $288.40 | $707.95 |
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 $134.90 Median $263.03 Typical High $389.05 | Professional | None | $134.90 | $263.03 | $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 $478.63 | Professional | 52 · Reduced service | $120.23 | $131.83 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $52.48 Typical High $190.55 | Professional | 53 · Discontinued | $48.98 | $52.48 | $190.55 |
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· 42nd of 51
$257
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.