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 $67.61 Median $67.61 Typical High $91.20 | Facility | None | $67.61 | $67.61 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $69.18 | Professional | None | $67.61 | $67.61 | $69.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $0.02 Median $0.02 Typical High $0.03 | Facility | None | $0.02 | $0.02 | $0.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $37.15 Median $38.02 Typical High $60.26 | Professional | None | $37.15 | $38.02 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $194.98 Typical High $194.98 | Facility | None | $81.28 | $194.98 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $194.98 | Professional | None | $70.79 | $70.79 | $194.98 |
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 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $70.79 | Professional | None | $60.26 | $60.26 | $70.79 |
United Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $158.49 | Professional | None | $79.43 | $79.43 | $158.49 |
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 $33.88 Median $33.88 Typical High $34.67 | Professional | 52 · Reduced service | $33.88 | $33.88 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $13.49 Typical High $13.80 | Professional | 53 · Discontinued | $13.49 | $13.49 | $13.80 |
Where Indiana sits
The same service costs 2.5 times more in Kansas than in Indiana. 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· 51st of 51
$57.54
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.