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 $102.33 Median $177.83 Typical High $398.11 | Facility | None | $102.33 | $177.83 | $398.11 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $147.91 Typical High $173.78 | Professional | None | $102.33 | $147.91 | $173.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $70.79 Typical High $87.10 | Professional | 52 · Reduced service | $50.12 | $70.79 | $87.10 |
Ambetter Setting Professional Modifier None Typical Low $165.96 Median $208.93 Typical High $288.40 | Professional | None | $165.96 | $208.93 | $288.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $117.49 Median $263.03 Typical High $549.54 | Facility | None | $117.49 | $263.03 | $549.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $109.65 Median $151.36 Typical High $194.98 | Professional | None | $109.65 | $151.36 | $194.98 |
CareSource Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $141.25 | Facility | None | $125.89 | $125.89 | $141.25 |
CareSource Setting Professional Modifier None Typical Low $151.36 Median $190.55 Typical High $208.93 | Professional | None | $151.36 | $190.55 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $173.78 Typical High $257.04 | Professional | None | $128.82 | $173.78 | $257.04 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $309.03 Median $630.96 Typical High $2,137.96 | Facility | None | $309.03 | $630.96 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $114.82 Median $173.78 Typical High $288.40 | Professional | None | $114.82 | $173.78 | $288.40 |
United Setting Professional Modifier None Typical Low $109.65 Median $162.18 Typical High $245.47 | Professional | None | $109.65 | $162.18 | $245.47 |
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 GC · Resident with teaching physician Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | GC · Resident with teaching physician | $229.09 | $229.09 | $229.09 |
Where Indiana sits
The same service costs 2.8 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· 40th of 51
$148
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.