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 $28.18 Median $28.18 Typical High $28.18 | Facility | None | $28.18 | $28.18 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | None | $28.18 | $28.18 | $28.18 |
Ambetter Setting Professional Modifier None Typical Low $34.67 Median $37.15 Typical High $37.15 | Professional | None | $34.67 | $37.15 | $37.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $21.38 Median $66.07 Typical High $89.13 | Facility | None | $21.38 | $66.07 | $89.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.38 Median $25.12 Typical High $28.84 | Professional | None | $21.38 | $25.12 | $28.84 |
CareSource Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
CareSource Setting Professional Modifier None Typical Low $36.31 Median $37.15 Typical High $48.98 | Professional | None | $36.31 | $37.15 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $33.11 Typical High $57.54 | Professional | None | $25.70 | $33.11 | $57.54 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $87.10 Median $912.01 Typical High $2,137.96 | Facility | None | $87.10 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $32.36 Median $37.15 Typical High $41.69 | Professional | None | $32.36 | $37.15 | $41.69 |
United Setting Professional Modifier None Typical Low $28.18 Median $33.88 Typical High $45.71 | Professional | None | $28.18 | $33.88 | $45.71 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier AT · Acute treatment Typical Low $30.90 Median $33.11 Typical High $33.11 | Professional | AT · Acute treatment | $30.90 | $33.11 | $33.11 |
Where Indiana sits
The same service costs 2.8 times more in Alaska than in Washington, DC. 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
$28.18
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.