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 $47.86 Median $87.10 Typical High $213.80 | Facility | None | $47.86 | $87.10 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $47.86 Typical High $87.10 | Professional | None | $43.65 | $47.86 | $87.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $45.71 Median $57.54 Typical High $173.78 | Facility | None | $45.71 | $57.54 | $173.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $72.44 | Professional | None | $9.55 | $9.55 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $57.54 Typical High $165.96 | Facility | None | $38.02 | $57.54 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $43.65 Typical High $85.11 | Professional | None | $13.80 | $43.65 | $85.11 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $47.86 Median $144.54 Typical High $2,187.76 | Facility | None | $47.86 | $144.54 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $41.69 Median $48.98 Typical High $89.13 | Professional | None | $41.69 | $48.98 | $89.13 |
United Setting Professional Modifier None Typical Low $16.60 Median $34.67 Typical High $69.18 | Professional | None | $16.60 | $34.67 | $69.18 |
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 $21.88 Median $23.99 Typical High $43.65 | Professional | 52 · Reduced service | $21.88 | $23.99 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $9.55 Typical High $17.38 | Professional | 53 · Discontinued | $8.71 | $9.55 | $17.38 |
Where Indiana sits
The same service costs 5.1 times more in Alaska than in Kansas. 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· 23rd of 51
$43.65
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.