How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $75.86 Median $302.00 Typical High $302.00 | Facility | None | $75.86 | $302.00 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $263.03 Median $302.00 Typical High $776.25 | Professional | None | $263.03 | $302.00 | $776.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $131.83 Median $151.36 Typical High $457.09 | Professional | 52 · Reduced service | $131.83 | $151.36 | $457.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $107.15 Median $213.80 Typical High $1,000.00 | Facility | None | $107.15 | $213.80 | $1,000.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $107.15 Median $131.83 Typical High $549.54 | Professional | None | $107.15 | $131.83 | $549.54 |
CareSource Setting Facility Modifier None Typical Low $75,857.76 Median $75,857.76 Typical High $109,647.82 | Facility | None | $75,857.76 | $75,857.76 | $109,647.82 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $186.21 | Facility | None | $48.98 | $48.98 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $138.04 Typical High $141.25 | Professional | None | $61.66 | $138.04 | $141.25 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $446.68 Median $912.01 Typical High $2,290.87 | Facility | None | $446.68 | $912.01 | $2,290.87 |
United Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $39.81 | Professional | None | $21.38 | $21.38 | $39.81 |
1 more rate 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 53 · Discontinued Typical Low $15.14 Median $75.86 Typical High $199.53 | Professional | 53 · Discontinued | $15.14 | $75.86 | $199.53 |
Where Indiana sits
The same service costs 25.1 times more in Vermont than in Michigan. 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· 29th 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.