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 $851.14 Median $1,148.15 Typical High $3,801.89 | Facility | None | $851.14 | $1,148.15 | $3,801.89 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $851.14 Typical High $2,089.30 | Professional | None | $741.31 | $851.14 | $2,089.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $524.81 Median $691.83 Typical High $1,288.25 | Facility | None | $524.81 | $691.83 | $1,288.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $645.65 Median $707.95 Typical High $1,737.80 | Professional | None | $645.65 | $707.95 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $524.81 Typical High $2,691.53 | Facility | None | $97.72 | $524.81 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $977.24 Typical High $2,137.96 | Professional | None | $512.86 | $977.24 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $2,187.76 Typical High $4,168.69 | Facility | None | $912.01 | $2,187.76 | $4,168.69 |
United Setting Professional Modifier None Typical Low $389.05 Median $776.25 Typical High $1,258.93 | Professional | None | $389.05 | $776.25 | $1,258.93 |
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 $338.84 Median $426.58 Typical High $1,047.13 | Professional | 52 · Reduced service | $338.84 | $426.58 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $169.82 Typical High $426.58 | Professional | 53 · Discontinued | $134.90 | $169.82 | $426.58 |
Where Indiana sits
The same service costs 43.7 times more in Alaska than in Alabama. 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· 31st of 51
$832
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.