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 $26.92 Median $26.92 Typical High $26.92 | Facility | None | $26.92 | $26.92 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $26.92 Typical High $31.62 | Professional | None | $23.99 | $26.92 | $31.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.30 Median $40.74 Typical High $51.29 | Facility | None | $26.30 | $40.74 | $51.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $22.39 Median $26.30 Typical High $34.67 | Professional | None | $22.39 | $26.30 | $34.67 |
Cigna 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 $27.54 Median $36.31 Typical High $181.97 | Professional | None | $27.54 | $36.31 | $181.97 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $54.95 Median $91.20 Typical High $2,137.96 | Facility | None | $54.95 | $91.20 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $32.36 Median $38.02 Typical High $69.18 | Professional | None | $32.36 | $38.02 | $69.18 |
United Setting Professional Modifier None Typical Low $29.51 Median $34.67 Typical High $52.48 | Professional | None | $29.51 | $34.67 | $52.48 |
1 more rate 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 $11.75 Median $13.49 Typical High $15.85 | Professional | 52 · Reduced service | $11.75 | $13.49 | $15.85 |
Where Indiana sits
The same service costs 3.2 times more in Alaska than in Ohio. 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
$26.92
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.