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 $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $70.79 Typical High $79.43 | Professional | None | $67.61 | $70.79 | $79.43 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $32.36 | Facility | None | $16.60 | $16.60 | $32.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.13 Median $29.51 Typical High $66.07 | Professional | None | $14.13 | $29.51 | $66.07 |
CareSource Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $85.11 Typical High $117.49 | Professional | None | $45.71 | $85.11 | $117.49 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $213.80 Median $912.01 Typical High $2,187.76 | Facility | None | $213.80 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $60.26 Median $102.33 Typical High $138.04 | Professional | None | $60.26 | $102.33 | $138.04 |
United Setting Professional Modifier None Typical Low $33.88 Median $56.23 Typical High $109.65 | Professional | None | $33.88 | $56.23 | $109.65 |
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 $33.88 Median $35.48 Typical High $39.81 | Professional | 52 · Reduced service | $33.88 | $35.48 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $14.13 Typical High $15.85 | Professional | 53 · Discontinued | $13.49 | $14.13 | $15.85 |
Where Indiana sits
The same service costs 6.6 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· 48th of 51
$34.67
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.