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 $35.48 Median $52.48 Typical High $158.49 | Facility | None | $35.48 | $52.48 | $158.49 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $35.48 Typical High $70.79 | Professional | None | $32.36 | $35.48 | $70.79 |
Ambetter Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None | $21.38 | $21.38 | $21.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $33.88 Median $42.66 Typical High $128.82 | Facility | None | $33.88 | $42.66 | $128.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $16.98 Median $19.05 Typical High $64.57 | Professional | None | $16.98 | $19.05 | $64.57 |
CareSource Setting Professional Modifier None Typical Low $42.66 Median $46.77 Typical High $60.26 | Professional | None | $42.66 | $46.77 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $70.79 Typical High $144.54 | Facility | None | $34.67 | $70.79 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $43.65 Typical High $109.65 | Professional | None | $27.54 | $43.65 | $109.65 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $77.62 Median $107.15 Typical High $2,187.76 | Facility | None | $77.62 | $107.15 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $30.90 Median $36.31 Typical High $66.07 | Professional | None | $30.90 | $36.31 | $66.07 |
United Setting Professional Modifier None Typical Low $17.78 Median $33.88 Typical High $52.48 | Professional | None | $17.78 | $33.88 | $52.48 |
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 $16.22 Median $17.38 Typical High $35.48 | Professional | 52 · Reduced service | $16.22 | $17.38 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $7.08 Typical High $14.13 | Professional | 53 · Discontinued | $6.46 | $7.08 | $14.13 |
Where Indiana sits
The same service costs 3.0 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· 43rd of 51
$35.48
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.