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 $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $223.87 | Professional | None | $199.53 | $199.53 | $223.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $19.50 | Facility | None | $17.38 | $17.38 | $19.50 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.51 Median $10.00 Typical High $15.49 | Professional | None | $8.51 | $10.00 | $15.49 |
CareSource Setting Facility Modifier None Typical Low $60.26 Median $79.43 Typical High $208.93 | Facility | None | $60.26 | $79.43 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,318.26 Typical High $27,542.29 | Facility | None | $512.86 | $1,318.26 | $27,542.29 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $263.03 Typical High $407.38 | Professional | None | $204.17 | $263.03 | $407.38 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $954.99 Typical High $2,290.87 | Facility | None | $912.01 | $954.99 | $2,290.87 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $524.81 Median $549.54 Typical High $645.65 | Professional | None | $524.81 | $549.54 | $645.65 |
United Setting Professional Modifier None Typical Low $199.53 Median $269.15 Typical High $398.11 | Professional | None | $199.53 | $269.15 | $398.11 |
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 $97.72 Median $100.00 Typical High $112.20 | Professional | 52 · Reduced service | $97.72 | $100.00 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $45.71 | Professional | 53 · Discontinued | $39.81 | $39.81 | $45.71 |
Where Indiana sits
The same service costs 67.6 times more in Alaska than in Kentucky. 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
$15.85
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.