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 $125.89 Median $165.96 Typical High $213.80 | Facility | None | $125.89 | $165.96 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $162.18 Typical High $190.55 | Professional | None | $125.89 | $162.18 | $190.55 |
Ambetter Setting Professional Modifier None Typical Low $117.49 Median $151.36 Typical High $194.98 | Professional | None | $117.49 | $151.36 | $194.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $251.19 | Facility | None | $128.82 | $128.82 | $251.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $102.33 Median $131.83 Typical High $165.96 | Professional | None | $102.33 | $131.83 | $165.96 |
CareSource Setting Facility Modifier None Typical Low $154.88 Median $158.49 Typical High $177.83 | Facility | None | $154.88 | $158.49 | $177.83 |
CareSource Setting Professional Modifier None Typical Low $151.36 Median $190.55 Typical High $257.04 | Professional | None | $151.36 | $190.55 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $75.86 Typical High $204.17 | Professional | None | $54.95 | $75.86 | $204.17 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $467.74 Median $588.84 Typical High $2,187.76 | Facility | None | $467.74 | $588.84 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $123.03 Median $177.83 Typical High $295.12 | Professional | None | $123.03 | $177.83 | $295.12 |
United Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $186.21 | Professional | None | $141.25 | $141.25 | $186.21 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier AF · Specialist physician Typical Low $128.82 Median $154.88 Typical High $194.98 | Professional | AF · Specialist physician | $128.82 | $154.88 | $194.98 |
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $154.88 Median $177.83 Typical High $194.98 | Professional | GC · Resident with teaching physician | $154.88 | $177.83 | $194.98 |
Ambetter Setting Professional Modifier GE · Resident, primary care exception Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | GE · Resident, primary care exception | $141.25 | $141.25 | $141.25 |
Ambetter Setting Professional Modifier SA · Nurse practitioner Typical Low $107.15 Median $131.83 Typical High $144.54 | Professional | SA · Nurse practitioner | $107.15 | $131.83 | $144.54 |
Where Indiana sits
The same service costs 2.2 times more in North Dakota than in Kentucky. 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· 45th of 51
$141
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.