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 $28.84 Median $52.48 Typical High $128.82 | Facility | None | $28.84 | $52.48 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $28.84 Typical High $52.48 | Professional | None | $26.30 | $28.84 | $52.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $28.18 Median $35.48 Typical High $104.71 | Facility | None | $28.18 | $35.48 | $104.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.62 Median $10.23 Typical High $38.90 | Professional | None | $5.62 | $10.23 | $38.90 |
CareSource Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Facility | None | $43.65 | $43.65 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $16.98 Median $35.48 Typical High $100.00 | Facility | None | $16.98 | $35.48 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $30.20 Typical High $67.61 | Professional | None | $7.94 | $30.20 | $67.61 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $28.84 Median $89.13 Typical High $2,187.76 | Facility | None | $28.84 | $89.13 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $22.91 Median $28.18 Typical High $33.11 | Professional | None | $22.91 | $28.18 | $33.11 |
United Setting Professional Modifier None Typical Low $9.77 Median $17.78 Typical High $42.66 | Professional | None | $9.77 | $17.78 | $42.66 |
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 $13.18 Median $14.45 Typical High $26.30 | Professional | 52 · Reduced service | $13.18 | $14.45 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $5.75 Typical High $10.72 | Professional | 53 · Discontinued | $5.25 | $5.75 | $10.72 |
Where Indiana sits
The same service costs 5.6 times more in Alaska than in Kentucky. 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· 30th of 51
$24.55
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.