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 $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $44.67 | Professional | None | $41.69 | $41.69 | $44.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $42.66 | Facility | None | $22.39 | $22.39 | $42.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.05 Median $37.15 Typical High $52.48 | Professional | None | $19.05 | $37.15 | $52.48 |
CareSource Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Facility | None | $43.65 | $43.65 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $53.70 Typical High $81.28 | Professional | None | $40.74 | $53.70 | $81.28 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $102.33 Median $912.01 Typical High $2,137.96 | Facility | None | $102.33 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $18.62 Median $57.54 Typical High $89.13 | Professional | None | $18.62 | $57.54 | $89.13 |
United Setting Professional Modifier None Typical Low $37.15 Median $46.77 Typical High $83.18 | Professional | None | $37.15 | $46.77 | $83.18 |
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 $20.89 Median $20.89 Typical High $22.39 | Professional | 52 · Reduced service | $20.89 | $20.89 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.32 Typical High $9.12 | Professional | 53 · Discontinued | $8.32 | $8.32 | $9.12 |
Where Indiana sits
The same service costs 4.4 times more in Alaska than in Missouri. 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· 45th of 51
$40.74
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.