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 $95.50 Median $123.03 Typical High $162.18 | Facility | None | $95.50 | $123.03 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $117.49 Typical High $138.04 | Professional | None | $91.20 | $117.49 | $138.04 |
Ambetter Setting Professional Modifier None Typical Low $87.10 Median $97.72 Typical High $117.49 | Professional | None | $87.10 | $97.72 | $117.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $245.47 | Facility | None | $123.03 | $123.03 | $245.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $97.72 Median $109.65 Typical High $134.90 | Professional | None | $97.72 | $109.65 | $134.90 |
CareSource Setting Facility Modifier None Typical Low $123.03 Median $128.82 Typical High $141.25 | Facility | None | $123.03 | $128.82 | $141.25 |
CareSource Setting Professional Modifier None Typical Low $120.23 Median $151.36 Typical High $204.17 | Professional | None | $120.23 | $151.36 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $223.87 Typical High $223.87 | Professional | None | $100.00 | $223.87 | $223.87 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $371.54 Median $478.63 Typical High $2,187.76 | Facility | None | $371.54 | $478.63 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $97.72 Median $138.04 Typical High $251.19 | Professional | None | $97.72 | $138.04 | $251.19 |
United Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $151.36 | Professional | None | $100.00 | $100.00 | $151.36 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier HE · Mental health program Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | HE · Mental health program | $117.49 | $117.49 | $117.49 |
Where Indiana sits
The same service costs 1.7 times more in North Dakota than in Ohio. 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· 40th of 51
$117
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.