How much rates vary
Facilitymedian $776 · 10th to 90th $513 to $1,380Professionalmedian $617 · 10th to 90th $437 to $851
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 $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $524.81 Typical High $645.65 | Professional | None | $478.63 | $524.81 | $645.65 |
Aetna Setting Professional Modifier RR · Rental Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | RR · Rental | $52.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $363.08 Median $389.05 Typical High $478.63 | Professional | UE · Used equipment | $363.08 | $389.05 | $478.63 |
Anthem BCBS Setting Facility Modifier None Typical Low $676.08 Median $851.14 Typical High $912.01 | Facility | None | $676.08 | $851.14 | $912.01 |
Anthem BCBS Setting Professional Modifier None Typical Low $602.56 Median $616.60 Typical High $851.14 | Professional | None | $602.56 | $616.60 | $851.14 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $60.26 Median $61.66 Typical High $85.11 | Professional | RR · Rental | $60.26 | $61.66 | $85.11 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $467.74 Median $467.74 Typical High $660.69 | Professional | UE · Used equipment | $467.74 | $467.74 | $660.69 |
CareSource Setting Facility Modifier None Typical Low $125.89 Median $954.99 Typical High $1,258.93 | Facility | None | $125.89 | $954.99 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $512.86 Typical High $812.83 | Professional | None | $436.52 | $512.86 | $812.83 |
Cigna Setting Professional Modifier RR · Rental Typical Low $43.65 Median $51.29 Typical High $51.29 | Professional | RR · Rental | $43.65 | $51.29 | $51.29 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $331.13 Median $389.05 Typical High $389.05 | Professional | UE · Used equipment | $331.13 | $389.05 | $389.05 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $2,137.96 Typical High $2,691.53 | Facility | None | $912.01 | $2,137.96 | $2,691.53 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $524.81 Median $691.83 Typical High $870.96 | Professional | None | $524.81 | $691.83 | $870.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier UE · Used equipment Typical Low $398.11 Median $524.81 Typical High $660.69 | Professional | UE · Used equipment | $398.11 | $524.81 | $660.69 |
United Setting Professional Modifier None Typical Low $281.84 Median $436.52 Typical High $676.08 | Professional | None | $281.84 | $436.52 | $676.08 |
United Setting Professional Modifier RR · Rental Typical Low $28.18 Median $43.65 Typical High $67.61 | Professional | RR · Rental | $28.18 | $43.65 | $67.61 |
United Setting Professional Modifier UE · Used equipment Typical Low $208.93 Median $331.13 Typical High $512.86 | Professional | UE · Used equipment | $208.93 | $331.13 | $512.86 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier MS · Maintenance fee Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | MS · Maintenance fee | $52.48 | $52.48 | $52.48 |
Where Indiana sits
The same service costs 2.0 times more in Hawaii than in Arizona. 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· 20th of 51
$617
HI $891AZ $437
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.