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 $22.39 Median $40.74 Typical High $100.00 | Facility | None | $22.39 | $40.74 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $20.42 Median $22.39 Typical High $40.74 | Professional | None | $20.42 | $22.39 | $40.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $21.38 Median $26.92 Typical High $81.28 | Facility | None | $21.38 | $26.92 | $81.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.07 Median $8.91 Typical High $29.51 | Professional | None | $4.07 | $8.91 | $29.51 |
CareSource Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Facility | None | $33.88 | $33.88 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $12.02 Median $26.92 Typical High $75.86 | Facility | None | $12.02 | $26.92 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $5.62 Median $19.50 Typical High $52.48 | Professional | None | $5.62 | $19.50 | $52.48 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $20.89 Median $67.61 Typical High $2,187.76 | Facility | None | $20.89 | $67.61 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $17.78 Median $21.88 Typical High $24.55 | Professional | None | $17.78 | $21.88 | $24.55 |
United Setting Professional Modifier None Typical Low $7.08 Median $13.49 Typical High $32.36 | Professional | None | $7.08 | $13.49 | $32.36 |
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 $10.23 Median $11.22 Typical High $20.42 | Professional | 52 · Reduced service | $10.23 | $11.22 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.47 Typical High $8.13 | Professional | 53 · Discontinued | $4.07 | $4.47 | $8.13 |
Where Indiana sits
The same service costs 5.8 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· 30th of 51
$18.62
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.