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 $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $107.15 Typical High $123.03 | Professional | None | $100.00 | $107.15 | $123.03 |
Ambetter Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | None | $97.72 | $97.72 | $97.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $46.77 Median $181.97 Typical High $239.88 | Facility | None | $46.77 | $181.97 | $239.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $38.90 Median $46.77 Typical High $117.49 | Professional | None | $38.90 | $46.77 | $117.49 |
CareSource Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
CareSource Setting Professional Modifier None Typical Low $104.71 Median $114.82 Typical High $141.25 | Professional | None | $104.71 | $114.82 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $91.20 Typical High $151.36 | Professional | None | $42.66 | $91.20 | $151.36 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $87.10 Median $323.59 Typical High $2,187.76 | Facility | None | $87.10 | $323.59 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $47.86 Median $134.90 Typical High $208.93 | Professional | None | $47.86 | $134.90 | $208.93 |
United Setting Professional Modifier None Typical Low $60.26 Median $107.15 Typical High $199.53 | Professional | None | $60.26 | $107.15 | $199.53 |
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 $51.29 Median $53.70 Typical High $60.26 | Professional | 52 · Reduced service | $51.29 | $53.70 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $21.38 Typical High $24.55 | Professional | 53 · Discontinued | $20.89 | $21.38 | $24.55 |
Where Indiana sits
The same service costs 4.2 times more in Alaska than in Alabama. 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· 50th of 51
$74.13
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.