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 $208.93 Median $316.23 Typical High $954.99 | Facility | None | $208.93 | $316.23 | $954.99 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $208.93 Typical High $426.58 | Professional | None | $194.98 | $208.93 | $426.58 |
Anthem BCBS Setting Facility Modifier None Typical Low $204.17 Median $257.04 Typical High $776.25 | Facility | None | $204.17 | $257.04 | $776.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $354.81 | Professional | None | $125.89 | $125.89 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $263.03 Typical High $870.96 | Facility | None | $186.21 | $263.03 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $295.12 Typical High $562.34 | Professional | None | $162.18 | $295.12 | $562.34 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $467.74 Median $645.65 Typical High $2,187.76 | Facility | None | $467.74 | $645.65 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $186.21 Median $218.78 Typical High $398.11 | Professional | None | $186.21 | $218.78 | $398.11 |
United Setting Professional Modifier None Typical Low $107.15 Median $204.17 Typical High $316.23 | Professional | None | $107.15 | $204.17 | $316.23 |
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 $95.50 Median $104.71 Typical High $213.80 | Professional | 52 · Reduced service | $95.50 | $104.71 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $42.66 Typical High $85.11 | Professional | 53 · Discontinued | $38.90 | $42.66 | $85.11 |
Where Indiana sits
The same service costs 3.7 times more in Alaska than in Georgia. 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
$209
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.