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 $213.80 Median $288.40 Typical High $977.24 | Facility | None | $213.80 | $288.40 | $977.24 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $213.80 Typical High $398.11 | Professional | None | $194.98 | $213.80 | $398.11 |
Ambetter Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $208.93 Median $263.03 Typical High $794.33 | Facility | None | $208.93 | $263.03 | $794.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $398.11 | Professional | None | $104.71 | $104.71 | $398.11 |
CareSource Setting Professional Modifier None Typical Low $263.03 Median $288.40 Typical High $371.54 | Professional | None | $263.03 | $288.40 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $263.03 Typical High $741.31 | Facility | None | $169.82 | $263.03 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $234.42 Typical High $501.19 | Professional | None | $128.82 | $234.42 | $501.19 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $436.52 Median $660.69 Typical High $2,187.76 | Facility | None | $436.52 | $660.69 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $190.55 Median $223.87 Typical High $398.11 | Professional | None | $190.55 | $223.87 | $398.11 |
United Setting Professional Modifier None Typical Low $109.65 Median $169.82 Typical High $316.23 | Professional | None | $109.65 | $169.82 | $316.23 |
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 $97.72 Median $107.15 Typical High $199.53 | Professional | 52 · Reduced service | $97.72 | $107.15 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $42.66 Typical High $79.43 | Professional | 53 · Discontinued | $39.81 | $42.66 | $79.43 |
Where Indiana sits
The same service costs 4.5 times more in Alaska than in Georgia. 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· 39th of 51
$214
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.