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 $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $831.76 | Professional | None | $489.78 | $489.78 | $831.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $831.76 Median $1,047.13 Typical High $1,096.48 | Facility | None | $831.76 | $1,047.13 | $1,096.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $1,047.13 | Professional | None | $512.86 | $512.86 | $1,047.13 |
CareSource Setting Facility Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,258.93 | Facility | None | $1,202.26 | $1,202.26 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $549.54 Typical High $1,047.13 | Facility | None | $512.86 | $549.54 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $549.54 Typical High $4,168.69 | Professional | None | $436.52 | $549.54 | $4,168.69 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $2,187.76 Typical High $3,235.94 | Facility | None | $912.01 | $2,187.76 | $3,235.94 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $645.65 Median $831.76 Typical High $1,258.93 | Professional | None | $645.65 | $831.76 | $1,258.93 |
United Setting Professional Modifier None Typical Low $269.15 Median $512.86 Typical High $851.14 | Professional | None | $269.15 | $512.86 | $851.14 |
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 $371.54 Median $489.78 Typical High $524.81 | Professional | UE · Used equipment | $371.54 | $489.78 | $524.81 |
Where Indiana sits
The same service costs 3.0 times more in Wisconsin 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· 36th of 51
$513
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.