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 $16.22 Median $32.36 Typical High $72.44 | Facility | None | $16.22 | $32.36 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $16.22 Typical High $120.23 | Professional | None | $14.79 | $16.22 | $120.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.49 Median $19.50 Typical High $58.88 | Facility | None | $15.49 | $19.50 | $58.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.77 Median $11.75 Typical High $28.84 | Professional | None | $9.77 | $11.75 | $28.84 |
CareSource Setting Facility Modifier None Typical Low $19.05 Median $19.50 Typical High $24.55 | Facility | None | $19.05 | $19.50 | $24.55 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $19.50 Typical High $66.07 | Facility | None | $12.59 | $19.50 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $28.18 Typical High $57.54 | Professional | None | $13.49 | $28.18 | $57.54 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $39.81 Median $51.29 Typical High $2,187.76 | Facility | None | $39.81 | $51.29 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $12.88 Median $15.85 Typical High $18.20 | Professional | None | $12.88 | $15.85 | $18.20 |
United Setting Professional Modifier None Typical Low $8.32 Median $17.38 Typical High $23.99 | Professional | None | $8.32 | $17.38 | $23.99 |
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 $7.41 Median $7.94 Typical High $60.26 | Professional | 52 · Reduced service | $7.41 | $7.94 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $3.24 Typical High $23.99 | Professional | 53 · Discontinued | $2.95 | $3.24 | $23.99 |
Where Indiana sits
The same service costs 3.2 times more in Alaska than in Nebraska. 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· 39th of 51
$16.22
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.