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 $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $40.74 Typical High $52.48 | Professional | None | $36.31 | $40.74 | $52.48 |
Aetna Setting Professional Modifier RR · Rental Typical Low $4.17 Median $4.17 Typical High $4.17 | Professional | RR · Rental | $4.17 | $4.17 | $4.17 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $27.54 Median $30.90 Typical High $35.48 | Professional | UE · Used equipment | $27.54 | $30.90 | $35.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $50.12 Median $63.10 Typical High $67.61 | Facility | None | $50.12 | $63.10 | $67.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $52.48 Median $58.88 Typical High $74.13 | Professional | None | $52.48 | $58.88 | $74.13 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $5.25 Median $5.62 Typical High $6.92 | Professional | RR · Rental | $5.25 | $5.62 | $6.92 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $38.90 Median $42.66 Typical High $52.48 | Professional | UE · Used equipment | $38.90 | $42.66 | $52.48 |
CareSource Setting Facility Modifier None Typical Low $9.33 Median $74.13 Typical High $102.33 | Facility | None | $9.33 | $74.13 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $45.71 | Facility | None | $42.66 | $42.66 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $42.66 Typical High $70.79 | Professional | None | $36.31 | $42.66 | $70.79 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $95.50 Median $199.53 Typical High $2,187.76 | Facility | None | $95.50 | $199.53 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $38.90 Median $51.29 Typical High $63.10 | Professional | None | $38.90 | $51.29 | $63.10 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier RR · Rental Typical Low $3.98 Median $5.13 Typical High $6.31 | Professional | RR · Rental | $3.98 | $5.13 | $6.31 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier UE · Used equipment Typical Low $28.84 Median $38.90 Typical High $47.86 | Professional | UE · Used equipment | $28.84 | $38.90 | $47.86 |
United Setting Professional Modifier None Typical Low $19.95 Median $36.31 Typical High $60.26 | Professional | None | $19.95 | $36.31 | $60.26 |
United Setting Professional Modifier RR · Rental Typical Low $2.04 Median $3.80 Typical High $6.17 | Professional | RR · Rental | $2.04 | $3.80 | $6.17 |
United Setting Professional Modifier UE · Used equipment Typical Low $15.14 Median $26.92 Typical High $44.67 | Professional | UE · Used equipment | $15.14 | $26.92 | $44.67 |
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 $4.17 Median $4.17 Typical High $4.17 | Professional | MS · Maintenance fee | $4.17 | $4.17 | $4.17 |
Where Indiana sits
The same service costs 5.0 times more in Hawaii 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· 18th of 51
$52.48
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.