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 $28.84 Median $28.84 Typical High $91.20 | Facility | None | $28.84 | $28.84 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $51.29 Typical High $107.15 | Professional | None | $28.84 | $51.29 | $107.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.12 Median $1,148.15 Typical High $1,513.56 | Facility | None | $25.12 | $1,148.15 | $1,513.56 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.44 Median $48.98 Typical High $104.71 | Professional | None | $23.44 | $48.98 | $104.71 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $34.67 Median $74.13 Typical High $158.49 | Professional | 50 · Both sides | $34.67 | $74.13 | $158.49 |
CareSource Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $61.66 Typical High $154.88 | Professional | None | $30.90 | $61.66 | $154.88 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $77.62 Median $380.19 Typical High $2,187.76 | Facility | None | $77.62 | $380.19 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $31.62 Median $63.10 Typical High $181.97 | Professional | None | $31.62 | $63.10 | $181.97 |
United Setting Professional Modifier None Typical Low $31.62 Median $57.54 Typical High $112.20 | Professional | None | $31.62 | $57.54 | $112.20 |
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 $14.45 Median $25.12 Typical High $53.70 | Professional | 52 · Reduced service | $14.45 | $25.12 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $10.23 Typical High $21.38 | Professional | 53 · Discontinued | $5.75 | $10.23 | $21.38 |
Where Indiana sits
The same service costs 4.2 times more in Washington than in Maryland. 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· 47th of 51
$56.23
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.