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 $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $831.76 Typical High $831.76 | Professional | None | $537.03 | $831.76 | $831.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $954.99 Median $1,202.26 Typical High $1,905.46 | Facility | None | $954.99 | $1,202.26 | $1,905.46 |
Anthem BCBS Setting Professional Modifier None Typical Low $489.78 Median $512.86 Typical High $977.24 | Professional | None | $489.78 | $512.86 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $2,290.87 Typical High $2,511.89 | Facility | None | $1,023.29 | $2,290.87 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $2,290.87 | Professional | None | $912.01 | $912.01 | $2,290.87 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $954.99 Typical High $2,187.76 | Facility | None | $912.01 | $954.99 | $2,187.76 |
United Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,778.28 | Professional | None | $891.25 | $891.25 | $1,778.28 |
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 $269.15 Median $416.87 Typical High $416.87 | Professional | 52 · Reduced service | $269.15 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $165.96 Typical High $165.96 | Professional | 53 · Discontinued | $109.65 | $165.96 | $165.96 |
Where Indiana sits
The same service costs 6.2 times more in Hawaii than in Kansas. 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· 38th of 51
$891
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.