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 $72.44 Median $75.86 Typical High $109.65 | Professional | None | $72.44 | $75.86 | $109.65 |
Ambetter Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None | $66.07 | $66.07 | $66.07 |
Anthem BCBS Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $169.82 | Facility | None | $87.10 | $87.10 | $169.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $66.07 Median $87.10 Typical High $117.49 | Professional | None | $66.07 | $87.10 | $117.49 |
CareSource Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
CareSource Setting Professional Modifier None Typical Low $63.10 Median $77.62 Typical High $102.33 | Professional | None | $63.10 | $77.62 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $154.88 Typical High $251.19 | Professional | None | $79.43 | $154.88 | $251.19 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $97.72 Median $199.53 Typical High $2,187.76 | Facility | None | $97.72 | $199.53 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $79.43 Median $97.72 Typical High $147.91 | Professional | None | $79.43 | $97.72 | $147.91 |
United Setting Professional Modifier None Typical Low $74.13 Median $104.71 Typical High $181.97 | Professional | None | $74.13 | $104.71 | $181.97 |
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 $33.88 Median $38.02 Typical High $43.65 | Professional | 52 · Reduced service | $33.88 | $38.02 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $15.14 Typical High $17.38 | Professional | 53 · Discontinued | $13.49 | $15.14 | $17.38 |
Where Indiana sits
The same service costs 2.8 times more in Minnesota than in Utah. 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· 42nd of 51
$87.10
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.