How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $32.36 | Professional | None | $31.62 | $31.62 | $32.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $30.90 Median $48.98 Typical High $64.57 | Facility | None | $30.90 | $48.98 | $64.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $25.12 Median $28.84 Typical High $52.48 | Professional | None | $25.12 | $28.84 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $91.20 Typical High $91.20 | Facility | None | $38.02 | $91.20 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $91.20 | Professional | None | $33.11 | $33.11 | $91.20 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $35.48 Median $912.01 Typical High $2,137.96 | Facility | None | $35.48 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $23.99 Median $30.20 Typical High $398.11 | Professional | None | $23.99 | $30.20 | $398.11 |
United Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $64.57 | Professional | None | $32.36 | $32.36 | $64.57 |
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 $15.85 Median $15.85 Typical High $16.22 | Professional | 52 · Reduced service | $15.85 | $15.85 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.31 Typical High $6.46 | Professional | 53 · Discontinued | $6.31 | $6.31 | $6.46 |
Where Indiana sits
The same service costs 3.5 times more in Montana than in North Dakota. 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
$33.11
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.