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 $24.55 Median $44.67 Typical High $109.65 | Facility | None | $24.55 | $44.67 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $24.55 Typical High $44.67 | Professional | None | $22.39 | $24.55 | $44.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $23.44 Median $29.51 Typical High $89.13 | Facility | None | $23.44 | $29.51 | $89.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $41.69 | Professional | None | $9.55 | $9.55 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $19.50 Median $44.67 Typical High $85.11 | Facility | None | $19.50 | $44.67 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $27.54 Typical High $57.54 | Professional | None | $13.80 | $27.54 | $57.54 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $47.86 Median $74.13 Typical High $2,187.76 | Facility | None | $47.86 | $74.13 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $21.38 Median $25.12 Typical High $45.71 | Professional | None | $21.38 | $25.12 | $45.71 |
United Setting Professional Modifier None Typical Low $12.59 Median $17.78 Typical High $35.48 | Professional | None | $12.59 | $17.78 | $35.48 |
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 $11.22 Median $12.30 Typical High $22.39 | Professional | 52 · Reduced service | $11.22 | $12.30 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $4.90 Typical High $8.91 | Professional | 53 · Discontinued | $4.47 | $4.90 | $8.91 |
Where Indiana sits
The same service costs 5.4 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· 35th of 51
$23.99
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.