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 $186.21 Median $269.15 Typical High $812.83 | Facility | None | $186.21 | $269.15 | $812.83 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $177.83 Typical High $891.25 | Professional | None | $162.18 | $177.83 | $891.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $173.78 Median $218.78 Typical High $660.69 | Facility | None | $173.78 | $218.78 | $660.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $87.10 Median $218.78 Typical High $338.84 | Professional | None | $87.10 | $218.78 | $338.84 |
CareSource Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
CareSource Setting Professional Modifier None Typical Low $141.25 Median $218.78 Typical High $251.19 | Professional | None | $141.25 | $218.78 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $407.38 Typical High $616.60 | Facility | None | $141.25 | $407.38 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $288.40 Typical High $416.87 | Professional | None | $199.53 | $288.40 | $416.87 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $371.54 Median $660.69 Typical High $2,187.76 | Facility | None | $371.54 | $660.69 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $138.04 Median $181.97 Typical High $251.19 | Professional | None | $138.04 | $181.97 | $251.19 |
United Setting Professional Modifier None Typical Low $91.20 Median $131.83 Typical High $263.03 | Professional | None | $91.20 | $131.83 | $263.03 |
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 $81.28 Median $89.13 Typical High $436.52 | Professional | 52 · Reduced service | $81.28 | $89.13 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $35.48 Typical High $177.83 | Professional | 53 · Discontinued | $32.36 | $35.48 | $177.83 |
Where Indiana sits
The same service costs 3.7 times more in Alaska than in West Virginia. 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· 15th of 51
$219
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.