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 $15.14 Median $33.88 Typical High $67.61 | Facility | None | $15.14 | $33.88 | $67.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $13.80 Median $15.14 Typical High $15.49 | Professional | None (both parts) | $13.80 | $15.14 | $15.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $18.20 Median $37.15 Typical High $54.95 | Facility | None | $18.20 | $37.15 | $54.95 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $9.33 Median $10.96 Typical High $22.91 | Professional | None (both parts) | $9.33 | $10.96 | $22.91 |
CareSource Setting Facility Modifier None Typical Low $17.78 Median $269.15 Typical High $407.38 | Facility | None | $17.78 | $269.15 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $12.02 Median $34.67 Typical High $52.48 | Facility | None | $12.02 | $34.67 | $52.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $11.75 Median $11.75 Typical High $26.30 | Professional | None (both parts) | $11.75 | $11.75 | $26.30 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $27.54 Median $45.71 Typical High $58.88 | Facility | None | $27.54 | $45.71 | $58.88 |
United Setting Professional Modifier None (both parts) Typical Low $7.76 Median $10.96 Typical High $21.88 | Professional | None (both parts) | $7.76 | $10.96 | $21.88 |
3 more rates 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $15.14 Typical High $15.49 | Professional | 26 · Professional part | $13.80 | $15.14 | $15.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.92 Median $7.59 Typical High $7.76 | Professional | 52 · Reduced service | $6.92 | $7.59 | $7.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $3.02 Typical High $3.16 | Professional | 53 · Discontinued | $2.75 | $3.02 | $3.16 |
Where Indiana sits
The same service costs 4.0 times more in Alaska than in Kentucky. 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· 41st of 51
$12.59
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.