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 $141.25 Median $275.42 Typical High $645.65 | Facility | None | $141.25 | $275.42 | $645.65 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $141.25 Typical High $275.42 | Professional | None | $128.82 | $141.25 | $275.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $138.04 Median $173.78 Typical High $524.81 | Facility | None | $138.04 | $173.78 | $524.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $263.03 | Professional | None | $93.33 | $93.33 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $281.84 Typical High $562.34 | Facility | None | $134.90 | $281.84 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $190.55 Typical High $371.54 | Professional | None | $107.15 | $190.55 | $371.54 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $389.05 Median $446.68 Typical High $2,187.76 | Facility | None | $389.05 | $446.68 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $125.89 Median $147.91 Typical High $263.03 | Professional | None | $125.89 | $147.91 | $263.03 |
United Setting Professional Modifier None Typical Low $104.71 Median $190.55 Typical High $316.23 | Professional | None | $104.71 | $190.55 | $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 $64.57 Median $70.79 Typical High $138.04 | Professional | 52 · Reduced service | $64.57 | $70.79 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $28.18 Typical High $54.95 | Professional | 53 · Discontinued | $26.30 | $28.18 | $54.95 |
Where Indiana sits
The same service costs 3.7 times more in Kansas than in Illinois. 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
$145
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.