How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $21.88 Median $23.99 Typical High $33.11 | Facility | None | $21.88 | $23.99 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $23.99 Typical High $26.30 | Professional | None | $21.88 | $23.99 | $26.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.96 Median $12.02 Typical High $13.18 | Professional | 52 · Reduced service | $10.96 | $12.02 | $13.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $22.39 Median $309.03 Typical High $416.87 | Facility | None | $22.39 | $309.03 | $416.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $17.78 Median $22.39 Typical High $23.99 | Professional | None | $17.78 | $22.39 | $23.99 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $31.62 Typical High $35.48 | Professional | None | $29.51 | $31.62 | $35.48 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $77.62 Median $912.01 Typical High $2,187.76 | Facility | None | $77.62 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $18.62 Median $25.70 Typical High $39.81 | Professional | None | $18.62 | $25.70 | $39.81 |
United Setting Professional Modifier None Typical Low $20.89 Median $26.30 Typical High $40.74 | Professional | None | $20.89 | $26.30 | $40.74 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | 59 · Distinct service | $27.54 | $27.54 | $27.54 |
Where Indiana sits
The same service costs 2.8 times more in North Dakota than in New Mexico. 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· 47th of 51
$22.39
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.