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 $33.88 Median $69.18 Typical High $154.88 | Facility | None | $33.88 | $69.18 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $33.88 Typical High $69.18 | Professional | None | $31.62 | $33.88 | $69.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $33.11 Median $41.69 Typical High $125.89 | Facility | None | $33.11 | $41.69 | $125.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $63.10 | Professional | None | $16.98 | $16.98 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $67.61 Typical High $141.25 | Facility | None | $33.88 | $67.61 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $42.66 Typical High $107.15 | Professional | None | $26.92 | $42.66 | $107.15 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $75.86 Median $104.71 Typical High $2,187.76 | Facility | None | $75.86 | $104.71 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $30.20 Median $35.48 Typical High $64.57 | Professional | None | $30.20 | $35.48 | $64.57 |
United Setting Professional Modifier None Typical Low $17.38 Median $33.11 Typical High $51.29 | Professional | None | $17.38 | $33.11 | $51.29 |
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 $15.49 Median $16.98 Typical High $34.67 | Professional | 52 · Reduced service | $15.49 | $16.98 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.92 Typical High $13.80 | Professional | 53 · Discontinued | $6.31 | $6.92 | $13.80 |
Where Indiana sits
The same service costs 3.3 times more in Alaska than in Delaware. 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· 45th of 51
$33.88
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.