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 $186.21 Median $186.21 Typical High $371.54 | Facility | None | $186.21 | $186.21 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $186.21 Typical High $245.47 | Professional | None | $169.82 | $186.21 | $245.47 |
Ambetter Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None | $147.91 | $147.91 | $147.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $398.11 | Facility | None | $204.17 | $204.17 | $398.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $158.49 Median $204.17 Typical High $275.42 | Professional | None | $158.49 | $204.17 | $275.42 |
CareSource Setting Facility Modifier None Typical Low $44.67 Median $162.18 Typical High $165.96 | Facility | None | $44.67 | $162.18 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $309.03 Typical High $478.63 | Professional | None | $181.97 | $309.03 | $478.63 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $234.42 Median $478.63 Typical High $2,187.76 | Facility | None | $234.42 | $478.63 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $181.97 Median $234.42 Typical High $338.84 | Professional | None | $181.97 | $234.42 | $338.84 |
United Setting Professional Modifier None Typical Low $169.82 Median $245.47 Typical High $389.05 | Professional | None | $169.82 | $245.47 | $389.05 |
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 $79.43 Median $93.33 Typical High $104.71 | Professional | 52 · Reduced service | $79.43 | $93.33 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $37.15 Typical High $42.66 | Professional | 53 · Discontinued | $31.62 | $37.15 | $42.66 |
Where Indiana sits
The same service costs 2.5 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· 39th of 51
$204
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.