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 $41.69 Median $70.79 Typical High $190.55 | Facility | None | $41.69 | $70.79 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $41.69 Typical High $77.62 | Professional | None | $38.02 | $41.69 | $77.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $40.74 Median $51.29 Typical High $154.88 | Facility | None | $40.74 | $51.29 | $154.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $102.33 | Professional | None | $22.91 | $22.91 | $102.33 |
CareSource Setting Professional Modifier None Typical Low $51.29 Median $56.23 Typical High $72.44 | Professional | None | $51.29 | $56.23 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $83.18 Typical High $144.54 | Facility | None | $33.11 | $83.18 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $47.86 Typical High $102.33 | Professional | None | $25.70 | $47.86 | $102.33 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $93.33 Median $131.83 Typical High $2,187.76 | Facility | None | $93.33 | $131.83 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $37.15 Median $43.65 Typical High $77.62 | Professional | None | $37.15 | $43.65 | $77.62 |
United Setting Professional Modifier None Typical Low $30.90 Median $56.23 Typical High $93.33 | Professional | None | $30.90 | $56.23 | $93.33 |
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 $19.05 Median $20.89 Typical High $38.02 | Professional | 52 · Reduced service | $19.05 | $20.89 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $8.32 Typical High $15.49 | Professional | 53 · Discontinued | $7.76 | $8.32 | $15.49 |
Where Indiana sits
The same service costs 4.6 times more in South Carolina than in Connecticut. 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· 41st of 51
$45.71
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.