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 $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $2,089.30 | Professional | None | $1,000.00 | $1,000.00 | $2,089.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,659.59 Median $2,137.96 Typical High $2,238.72 | Facility | None | $1,659.59 | $2,137.96 | $2,238.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,047.13 Median $1,174.90 Typical High $2,137.96 | Professional | None | $1,047.13 | $1,174.90 | $2,137.96 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | RR · Rental | $169.82 | $169.82 | $169.82 |
CareSource Setting Facility Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,162.28 | Facility | None | $3,019.95 | $3,019.95 | $3,162.28 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $1,258.93 Typical High $2,137.96 | Facility | None | $1,174.90 | $1,258.93 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $1,230.27 Typical High $10,232.93 | Professional | None | $977.24 | $1,230.27 | $10,232.93 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $3,090.30 Typical High $6,606.93 | Facility | None | $912.01 | $3,090.30 | $6,606.93 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $1,258.93 Median $1,698.24 Typical High $2,570.40 | Professional | None | $1,258.93 | $1,698.24 | $2,570.40 |
United Setting Professional Modifier None Typical Low $616.60 Median $1,047.13 Typical High $1,737.80 | Professional | None | $616.60 | $1,047.13 | $1,737.80 |
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 $1,096.48 Median $1,288.25 Typical High $1,288.25 | Professional | UE · Used equipment | $1,096.48 | $1,288.25 | $1,288.25 |
Where Indiana sits
The same service costs 2.3 times more in Montana than in Delaware. 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· 42nd of 51
$1,122
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.