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 $239.88 Median $302.00 Typical High $316.23 | Facility | None | $239.88 | $302.00 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $239.88 Typical High $263.03 | Professional | None | $120.23 | $239.88 | $263.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $120.23 Typical High $131.83 | Professional | 52 · Reduced service | $107.15 | $120.23 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $47.86 Typical High $52.48 | Professional | 53 · Discontinued | $42.66 | $47.86 | $52.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $39.81 Median $407.38 Typical High $549.54 | Facility | None | $39.81 | $407.38 | $549.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.88 Median $39.81 Typical High $229.09 | Professional | None | $33.88 | $39.81 | $229.09 |
CareSource Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
CareSource Setting Professional Modifier None Typical Low $208.93 Median $245.47 Typical High $331.13 | Professional | None | $208.93 | $245.47 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $281.84 Typical High $549.54 | Professional | None | $190.55 | $281.84 | $549.54 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $691.83 Median $912.01 Typical High $2,187.76 | Facility | None | $691.83 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $245.47 Median $331.13 Typical High $467.74 | Professional | None | $245.47 | $331.13 | $467.74 |
United Setting Professional Modifier None Typical Low $33.88 Median $43.65 Typical High $112.20 | Professional | None | $33.88 | $43.65 | $112.20 |
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 59 · Distinct service Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | 59 · Distinct service | $151.36 | $151.36 | $151.36 |
Where Indiana sits
The same service costs 12.6 times more in Minnesota than in Indiana. 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· 51st of 51
$39.81
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.