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 $6.92 Median $9.12 Typical High $19.05 | Facility | None | $6.92 | $9.12 | $19.05 |
Aetna Setting Professional Modifier None Typical Low $6.31 Median $7.59 Typical High $20.89 | Professional | None | $6.31 | $7.59 | $20.89 |
Ambetter Setting Professional Modifier None Typical Low $4.27 Median $5.75 Typical High $7.24 | Professional | None | $4.27 | $5.75 | $7.24 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.61 Median $8.51 Typical High $25.12 | Facility | None | $6.61 | $8.51 | $25.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.47 Median $4.17 Typical High $6.46 | Professional | None | $3.47 | $4.17 | $6.46 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $5.89 Median $8.51 Typical High $16.98 | Professional | QW · Waived lab test | $5.89 | $8.51 | $16.98 |
CareSource Setting Facility Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Facility | None | $10.47 | $10.47 | $10.47 |
CareSource Setting Professional Modifier None Typical Low $5.50 Median $8.51 Typical High $9.77 | Professional | None | $5.50 | $8.51 | $9.77 |
Cigna Setting Facility Modifier None Typical Low $5.50 Median $8.51 Typical High $28.18 | Facility | None | $5.50 | $8.51 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $6.03 Median $11.75 Typical High $20.42 | Professional | None | $6.03 | $11.75 | $20.42 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $15.49 Median $912.01 Typical High $2,187.76 | Facility | None | $15.49 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | None | $10.23 | $10.23 | $10.23 |
United Setting Professional Modifier None Typical Low $3.55 Median $5.62 Typical High $10.23 | Professional | None | $3.55 | $5.62 | $10.23 |
2 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 52 · Reduced service Typical Low $3.16 Median $3.47 Typical High $21.88 | Professional | 52 · Reduced service | $3.16 | $3.47 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.26 Median $1.38 Typical High $8.71 | Professional | 53 · Discontinued | $1.26 | $1.38 | $8.71 |
Where Indiana sits
The same service costs 14.8 times more in Minnesota than in Maryland. 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· 50th of 51
$6.61
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.