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 $134.90 Median $134.90 Typical High $213.80 | Facility | None | $134.90 | $134.90 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $134.90 Typical High $151.36 | Professional | None | $109.65 | $134.90 | $151.36 |
Ambetter Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None | $158.49 | $158.49 | $158.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $114.82 Median $398.11 Typical High $524.81 | Facility | None | $114.82 | $398.11 | $524.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $97.72 Median $114.82 Typical High $138.04 | Professional | None | $97.72 | $114.82 | $138.04 |
CareSource Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $147.91 Typical High $190.55 | Professional | None | $125.89 | $147.91 | $190.55 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $316.23 Median $912.01 Typical High $2,187.76 | Facility | None | $316.23 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $128.82 Median $162.18 Typical High $251.19 | Professional | None | $128.82 | $162.18 | $251.19 |
United Setting Professional Modifier None Typical Low $107.15 Median $128.82 Typical High $204.17 | Professional | None | $107.15 | $128.82 | $204.17 |
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 $54.95 Median $66.07 Typical High $74.13 | Professional | 52 · Reduced service | $54.95 | $66.07 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $26.92 Typical High $29.51 | Professional | 53 · Discontinued | $22.39 | $26.92 | $29.51 |
Where Indiana sits
The same service costs 3.0 times more in Minnesota than in Kentucky. 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· 48th 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.