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 $3,548.13 Median $3,548.13 Typical High $3,548.13 | Facility | None | $3,548.13 | $3,548.13 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $7,244.36 | Professional | None | $3,548.13 | $3,548.13 | $7,244.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $7,079.46 | Facility | None | $3,715.35 | $3,715.35 | $7,079.46 |
Anthem BCBS Setting Professional Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $7,585.78 | Professional | None | $3,715.35 | $3,715.35 | $7,585.78 |
CareSource Setting Facility Modifier None Typical Low $10,471.29 Median $10,471.29 Typical High $10,964.78 | Facility | None | $10,471.29 | $10,471.29 | $10,964.78 |
Cigna Setting Facility Modifier None Typical Low $4,073.80 Median $4,365.16 Typical High $7,585.78 | Facility | None | $4,073.80 | $4,365.16 | $7,585.78 |
Cigna Setting Professional Modifier None Typical Low $3,467.37 Median $4,073.80 Typical High $33,113.11 | Professional | None | $3,467.37 | $4,073.80 | $33,113.11 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $2,187.76 Typical High $23,442.29 | Facility | None | $912.01 | $2,187.76 | $23,442.29 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $4,677.35 Median $6,025.60 Typical High $9,120.11 | Professional | None | $4,677.35 | $6,025.60 | $9,120.11 |
United Setting Professional Modifier None Typical Low $2,187.76 Median $3,715.35 Typical High $6,165.95 | Professional | None | $2,187.76 | $3,715.35 | $6,165.95 |
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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,754.23 Median $3,890.45 Typical High $4,466.84 | Professional | UE · Used equipment | $2,754.23 | $3,890.45 | $4,466.84 |
Where Indiana sits
The same service costs 2.7 times more in Montana than in New York. 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· 40th of 51
$3,715
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.