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 $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $37.15 Typical High $57.54 | Professional | None | $35.48 | $37.15 | $57.54 |
Ambetter Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $97.72 | Professional | None | $69.18 | $69.18 | $97.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $51.29 Median $64.57 Typical High $81.28 | Facility | None | $51.29 | $64.57 | $81.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $61.66 Median $63.10 Typical High $89.13 | Professional | None | $61.66 | $63.10 | $89.13 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $6.31 Median $6.31 Typical High $8.91 | Professional | RR · Rental | $6.31 | $6.31 | $8.91 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $47.86 Median $47.86 Typical High $64.57 | Professional | UE · Used equipment | $47.86 | $47.86 | $64.57 |
CareSource Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $112.20 | Facility | None | $107.15 | $107.15 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $67.61 Typical High $74.13 | Facility | None | $64.57 | $67.61 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $67.61 Typical High $346.74 | Professional | None | $48.98 | $67.61 | $346.74 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $97.72 Median $204.17 Typical High $2,187.76 | Facility | None | $97.72 | $204.17 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $41.69 Median $60.26 Typical High $93.33 | Professional | None | $41.69 | $60.26 | $93.33 |
United Setting Professional Modifier None Typical Low $34.67 Median $51.29 Typical High $79.43 | Professional | None | $34.67 | $51.29 | $79.43 |
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 CG · Policy criteria applied Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | CG · Policy criteria applied | $69.18 | $69.18 | $69.18 |
Where Indiana sits
The same service costs 3.6 times more in Hawaii than in Utah. 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· 29th of 51
$63.10
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.