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 $16.60 Median $33.11 Typical High $74.13 | Facility | None | $16.60 | $33.11 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $16.60 Typical High $33.11 | Professional | None | $15.14 | $16.60 | $33.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.85 Median $19.95 Typical High $60.26 | Facility | None | $15.85 | $19.95 | $60.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $30.20 | Professional | None | $9.55 | $9.55 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $20.42 Typical High $67.61 | Facility | None | $14.45 | $20.42 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $12.59 Median $20.42 Typical High $43.65 | Professional | None | $12.59 | $20.42 | $43.65 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $36.31 Median $50.12 Typical High $2,187.76 | Facility | None | $36.31 | $50.12 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $14.45 Median $16.98 Typical High $30.90 | Professional | None | $14.45 | $16.98 | $30.90 |
United Setting Professional Modifier None Typical Low $8.51 Median $15.85 Typical High $24.55 | Professional | None | $8.51 | $15.85 | $24.55 |
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 $7.59 Median $8.13 Typical High $16.60 | Professional | 52 · Reduced service | $7.59 | $8.13 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $3.31 Typical High $6.61 | Professional | 53 · Discontinued | $3.02 | $3.31 | $6.61 |
Where Indiana sits
The same service costs 5.5 times more in Texas 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· 40th of 51
$16.60
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.