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 $3,467.37 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,467.37 | $3,467.37 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $2,511.89 Median $3,467.37 Typical High $3,630.78 | Professional | None | $2,511.89 | $3,467.37 | $3,630.78 |
Aetna Setting Professional Modifier RR · Rental Typical Low $398.11 Median $549.54 Typical High $575.44 | Professional | RR · Rental | $398.11 | $549.54 | $575.44 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $1,862.09 Median $2,630.27 Typical High $2,754.23 | Professional | UE · Used equipment | $1,862.09 | $2,630.27 | $2,754.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,884.03 Median $3,311.31 Typical High $3,630.78 | Facility | None | $2,884.03 | $3,311.31 | $3,630.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $3,715.35 | Professional | None | $1,862.09 | $1,862.09 | $3,715.35 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $186.21 Median $186.21 Typical High $263.03 | Professional | RR · Rental | $186.21 | $186.21 | $263.03 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,412.54 Median $1,412.54 Typical High $2,818.38 | Professional | UE · Used equipment | $1,412.54 | $1,412.54 | $2,818.38 |
CareSource Setting Facility Modifier None Typical Low $436.52 Median $4,073.80 Typical High $5,495.41 | Facility | None | $436.52 | $4,073.80 | $5,495.41 |
Cigna Setting Facility Modifier RR · Rental Typical Low $15.49 Median $15.49 Typical High $15.49 | Facility | RR · Rental | $15.49 | $15.49 | $15.49 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $1,288.25 Typical High $2,454.71 | Professional | None | $24.55 | $1,288.25 | $2,454.71 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $954.99 Typical High $3,388.44 | Facility | None | $912.01 | $954.99 | $3,388.44 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $758.58 Median $3,388.44 Typical High $4,073.80 | Professional | None | $758.58 | $3,388.44 | $4,073.80 |
United Setting Professional Modifier None Typical Low $1,348.96 Median $3,019.95 Typical High $4,677.35 | Professional | None | $1,348.96 | $3,019.95 | $4,677.35 |
United Setting Professional Modifier RR · Rental Typical Low $213.80 Median $478.63 Typical High $741.31 | Professional | RR · Rental | $213.80 | $478.63 | $741.31 |
United Setting Professional Modifier UE · Used equipment Typical Low $1,000.00 Median $2,290.87 Typical High $3,467.37 | Professional | UE · Used equipment | $1,000.00 | $2,290.87 | $3,467.37 |
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 MS · Maintenance fee Typical Low $194.98 Median $275.42 Typical High $288.40 | Professional | MS · Maintenance fee | $194.98 | $275.42 | $288.40 |
Anthem BCBS Setting Professional Modifier MS · Maintenance fee Typical Low $223.87 Median $295.12 Typical High $537.03 | Professional | MS · Maintenance fee | $223.87 | $295.12 | $537.03 |
Where Indiana sits
The same service costs 3.6 times more in Wisconsin than in Illinois. 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· 41st of 51
$1,862
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.