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 $27.54 Median $36.31 Typical High $125.89 | Facility | None | $27.54 | $36.31 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $27.54 Typical High $138.04 | Professional | None | $25.12 | $27.54 | $138.04 |
Ambetter Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $23.44 | Professional | None | $20.42 | $20.42 | $23.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.92 Median $33.88 Typical High $102.33 | Facility | None | $26.92 | $33.88 | $102.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.85 Median $19.50 Typical High $46.77 | Professional | None | $15.85 | $19.50 | $46.77 |
CareSource Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | None | $42.66 | $42.66 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $33.88 Typical High $112.20 | Facility | None | $21.88 | $33.88 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $38.90 Typical High $93.33 | Professional | None | $21.88 | $38.90 | $93.33 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $60.26 Median $85.11 Typical High $2,187.76 | Facility | None | $60.26 | $85.11 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $21.88 Median $27.54 Typical High $30.90 | Professional | None | $21.88 | $27.54 | $30.90 |
United Setting Professional Modifier None Typical Low $14.13 Median $25.12 Typical High $40.74 | Professional | None | $14.13 | $25.12 | $40.74 |
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 $12.59 Median $13.80 Typical High $69.18 | Professional | 52 · Reduced service | $12.59 | $13.80 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.50 Typical High $27.54 | Professional | 53 · Discontinued | $5.13 | $5.50 | $27.54 |
Where Indiana sits
The same service costs 3.7 times more in Alaska than in Maryland. 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· 47th of 51
$26.92
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.