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 $35.48 Median $67.61 Typical High $162.18 | Facility | None | $35.48 | $67.61 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $35.48 Typical High $67.61 | Professional | None | $33.11 | $35.48 | $67.61 |
Anthem BCBS Setting Facility Modifier None Typical Low $34.67 Median $43.65 Typical High $131.83 | Facility | None | $34.67 | $43.65 | $131.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.05 Median $19.95 Typical High $54.95 | Professional | None | $19.05 | $19.95 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $32.36 Median $70.79 Typical High $134.90 | Facility | None | $32.36 | $70.79 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $44.67 Typical High $87.10 | Professional | None | $25.70 | $44.67 | $87.10 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $79.43 Median $109.65 Typical High $2,187.76 | Facility | None | $79.43 | $109.65 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $31.62 Median $37.15 Typical High $66.07 | Professional | None | $31.62 | $37.15 | $66.07 |
United Setting Professional Modifier None Typical Low $18.20 Median $31.62 Typical High $53.70 | Professional | None | $18.20 | $31.62 | $53.70 |
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 $16.22 Median $17.78 Typical High $33.11 | Professional | 52 · Reduced service | $16.22 | $17.78 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $7.08 Typical High $13.49 | Professional | 53 · Discontinued | $6.61 | $7.08 | $13.49 |
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· 42nd of 51
$35.48
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.