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 $69.18 Median $104.71 Typical High $162.18 | Facility | None | $69.18 | $104.71 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $69.18 Typical High $141.25 | Professional | None | $64.57 | $69.18 | $141.25 |
Ambetter Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None | $51.29 | $51.29 | $51.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $67.61 Median $85.11 Typical High $257.04 | Facility | None | $67.61 | $85.11 | $257.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $109.65 | Professional | None | $39.81 | $39.81 | $109.65 |
CareSource Setting Professional Modifier None Typical Low $85.11 Median $93.33 Typical High $120.23 | Professional | None | $85.11 | $93.33 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $138.04 Typical High $281.84 | Facility | None | $67.61 | $138.04 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $85.11 Typical High $186.21 | Professional | None | $53.70 | $85.11 | $186.21 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $154.88 Median $213.80 Typical High $2,187.76 | Facility | None | $154.88 | $213.80 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $61.66 Median $72.44 Typical High $128.82 | Professional | None | $61.66 | $72.44 | $128.82 |
United Setting Professional Modifier None Typical Low $35.48 Median $67.61 Typical High $104.71 | Professional | None | $35.48 | $67.61 | $104.71 |
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 $31.62 Median $34.67 Typical High $70.79 | Professional | 52 · Reduced service | $31.62 | $34.67 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $13.80 Typical High $28.18 | Professional | 53 · Discontinued | $12.88 | $13.80 | $28.18 |
Where Indiana sits
The same service costs 3.0 times more in Alaska than in New Jersey. 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
$69.18
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.