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 $138.04 Median $141.25 Typical High $194.98 | Facility | None | $138.04 | $141.25 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $194.98 Typical High $229.09 | Professional | None | $141.25 | $194.98 | $229.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $97.72 Typical High $114.82 | Professional | 52 · Reduced service | $70.79 | $97.72 | $114.82 |
Ambetter Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $309.03 | Professional | None | $234.42 | $234.42 | $309.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $223.87 Median $309.03 Typical High $416.87 | Facility | None | $223.87 | $309.03 | $416.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $162.18 Median $223.87 Typical High $275.42 | Professional | None | $162.18 | $223.87 | $275.42 |
CareSource Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $199.53 | Facility | None | $173.78 | $173.78 | $199.53 |
CareSource Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $239.88 Typical High $338.84 | Professional | None | $181.97 | $239.88 | $338.84 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $489.78 Median $831.76 Typical High $2,187.76 | Facility | None | $489.78 | $831.76 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $165.96 Median $251.19 Typical High $398.11 | Professional | None | $165.96 | $251.19 | $398.11 |
United Setting Professional Modifier None Typical Low $162.18 Median $218.78 Typical High $302.00 | Professional | None | $162.18 | $218.78 | $302.00 |
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 SA · Nurse practitioner Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | SA · Nurse practitioner | $275.42 | $275.42 | $275.42 |
Where Indiana sits
The same service costs 2.7 times more in Alaska than in Alabama. 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· 46th of 51
$209
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.