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 $24.55 Median $30.20 Typical High $123.03 | Facility | None | $24.55 | $30.20 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $27.54 Typical High $218.78 | Professional | None | $17.38 | $27.54 | $218.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.85 Median $524.81 Typical High $724.44 | Facility | None | $15.85 | $524.81 | $724.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.85 Median $19.05 Typical High $31.62 | Professional | None | $15.85 | $19.05 | $31.62 |
CareSource Setting Facility Modifier None Typical Low $25.12 Median $25.70 Typical High $30.20 | Facility | None | $25.12 | $25.70 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $3.02 Median $107.15 Typical High $144.54 | Facility | None | $3.02 | $107.15 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $20.89 Typical High $50.12 | Professional | None | $10.00 | $20.89 | $50.12 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $66.07 Median $912.01 Typical High $2,290.87 | Facility | None | $66.07 | $912.01 | $2,290.87 |
United Setting Professional Modifier None Typical Low $12.02 Median $17.38 Typical High $42.66 | Professional | None | $12.02 | $17.38 | $42.66 |
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 $8.71 Median $13.80 Typical High $109.65 | Professional | 52 · Reduced service | $8.71 | $13.80 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $5.50 Typical High $43.65 | Professional | 53 · Discontinued | $3.47 | $5.50 | $43.65 |
Where Indiana sits
The same service costs 8.5 times more in Alaska than in Arizona. 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· 38th of 51
$22.91
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.