How much rates vary

Facilitymedian $209 · 10th to 90th $141 to $380Professionalmedian $141 · 10th to 90th $135 to $275

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 $138.04 Median $165.96 Typical High $190.55	Facility	None	$138.04	$165.96	$190.55
Aetna Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $263.03	Professional	None	$138.04	$138.04	$263.03
Anthem BCBS Setting Facility Modifier None Typical Low $141.25 Median $208.93 Typical High $281.84	Facility	None	$141.25	$208.93	$281.84
Anthem BCBS Setting Professional Modifier None Typical Low $134.90 Median $138.04 Typical High $275.42	Professional	None	$134.90	$138.04	$275.42
CareSource Setting Facility Modifier None Typical Low $134.90 Median $199.53 Typical High $269.15	Facility	None	$134.90	$199.53	$269.15
Cigna Setting Facility Modifier None Typical Low $204.17 Median $457.09 Typical High $501.19	Facility	None	$204.17	$457.09	$501.19
Cigna Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $467.74	Professional	None	$181.97	$181.97	$467.74
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $162.18 Median $380.19 Typical High $912.01	Facility	None	$162.18	$380.19	$912.01
United Setting Professional Modifier None Typical Low $141.25 Median $158.49 Typical High $239.88	Professional	None	$141.25	$158.49	$239.88

4 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 $69.18 Median $69.18 Typical High $69.18	Professional	52 · Reduced service	$69.18	$69.18	$69.18
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $27.54	Professional	53 · Discontinued	$27.54	$27.54	$27.54
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $20.42 Typical High $20.42	Professional	55 · Aftercare only	$20.42	$20.42	$20.42
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $13.80 Typical High $13.80	Professional	56 · Pre-op care only	$13.80	$13.80	$13.80

Where Indiana sits

The same service costs 1.8 times more in Arizona than in Rhode Island. 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· 24th of 51

$166

AZ $245RI $138

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.

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$141	$135 to $186
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$209	$166 to $282

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Prices by location type

How much rates vary

Rates by insurance carrier

Where Indiana sits