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 $75.86 Median $75.86 Typical High $151.36 | Facility | None | $75.86 | $75.86 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $75.86 Typical High $100.00 | Professional | None | $69.18 | $75.86 | $100.00 |
Ambetter Setting Professional Modifier None Typical Low $64.57 Median $69.18 Typical High $85.11 | Professional | None | $64.57 | $69.18 | $85.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $269.15 | Facility | None | $138.04 | $138.04 | $269.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $69.18 Median $138.04 Typical High $154.88 | Professional | None | $69.18 | $138.04 | $154.88 |
CareSource Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $72.44 | Facility | None | $69.18 | $69.18 | $72.44 |
CareSource Setting Professional Modifier None Typical Low $66.07 Median $81.28 Typical High $107.15 | Professional | None | $66.07 | $81.28 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $120.23 Typical High $181.97 | Professional | None | $72.44 | $120.23 | $181.97 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $165.96 Median $218.78 Typical High $2,187.76 | Facility | None | $165.96 | $218.78 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $81.28 Median $100.00 Typical High $147.91 | Professional | None | $81.28 | $100.00 | $147.91 |
United Setting Professional Modifier None Typical Low $61.66 Median $95.50 Typical High $141.25 | Professional | None | $61.66 | $95.50 | $141.25 |
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 $34.67 Median $37.15 Typical High $41.69 | Professional | 52 · Reduced service | $34.67 | $37.15 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $15.14 Typical High $16.60 | Professional | 53 · Discontinued | $13.80 | $15.14 | $16.60 |
Where Indiana sits
The same service costs 2.7 times more in Minnesota than in Florida. 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· 15th 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.