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 $33.11 Median $60.26 Typical High $151.36 | Facility | None | $33.11 | $60.26 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $33.11 Typical High $60.26 | Professional | None | $30.20 | $33.11 | $60.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $32.36 Median $40.74 Typical High $123.03 | Facility | None | $32.36 | $40.74 | $123.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $60.26 | Professional | None | $17.38 | $17.38 | $60.26 |
CareSource Setting Professional Modifier None Typical Low $40.74 Median $44.67 Typical High $56.23 | Professional | None | $40.74 | $44.67 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $40.74 Typical High $117.49 | Facility | None | $28.18 | $40.74 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $36.31 Typical High $77.62 | Professional | None | $21.38 | $36.31 | $77.62 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $72.44 Median $102.33 Typical High $2,187.76 | Facility | None | $72.44 | $102.33 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $29.51 Median $34.67 Typical High $61.66 | Professional | None | $29.51 | $34.67 | $61.66 |
United Setting Professional Modifier None Typical Low $16.98 Median $26.30 Typical High $48.98 | Professional | None | $16.98 | $26.30 | $48.98 |
3 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 $15.14 Median $16.60 Typical High $30.20 | Professional | 52 · Reduced service | $15.14 | $16.60 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.61 Typical High $12.30 | Professional | 53 · Discontinued | $6.03 | $6.61 | $12.30 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $20.42 Median $20.42 Typical High $24.55 | Professional | 59 · Distinct service | $20.42 | $20.42 | $24.55 |
Where Indiana sits
The same service costs 3.5 times more in Alaska than in Florida. 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
$33.11
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.