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 $338.84 Median $512.86 Typical High $1,548.82 | Facility | None | $338.84 | $512.86 | $1,548.82 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $338.84 Typical High $691.83 | Professional | None | $309.03 | $338.84 | $691.83 |
Ambetter Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | None | $19.05 | $19.05 | $19.05 |
Anthem BCBS Setting Facility Modifier None Typical Low $331.13 Median $416.87 Typical High $1,258.93 | Facility | None | $331.13 | $416.87 | $1,258.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $630.96 | Professional | None | $204.17 | $204.17 | $630.96 |
CareSource Setting Professional Modifier None Typical Low $416.87 Median $457.09 Typical High $588.84 | Professional | None | $416.87 | $457.09 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $416.87 Typical High $1,380.38 | Facility | None | $331.13 | $416.87 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $371.54 Typical High $794.33 | Professional | None | $251.19 | $371.54 | $794.33 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $758.58 Median $954.99 Typical High $2,187.76 | Facility | None | $758.58 | $954.99 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $302.00 Median $354.81 Typical High $630.96 | Professional | None | $302.00 | $354.81 | $630.96 |
United Setting Professional Modifier None Typical Low $173.78 Median $309.03 Typical High $512.86 | Professional | None | $173.78 | $309.03 | $512.86 |
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 $154.88 Median $169.82 Typical High $346.74 | Professional | 52 · Reduced service | $154.88 | $169.82 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $67.61 Typical High $138.04 | Professional | 53 · Discontinued | $63.10 | $67.61 | $138.04 |
Where Indiana sits
The same service costs 5.4 times more in Alaska 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
$339
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.