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 $7.08 Median $9.55 Typical High $16.60 | Facility | None | $7.08 | $9.55 | $16.60 |
Aetna Setting Professional Modifier None Typical Low $6.46 Median $7.08 Typical High $14.45 | Professional | None | $6.46 | $7.08 | $14.45 |
Ambetter Setting Professional Modifier None Typical Low $5.89 Median $5.89 Typical High $8.71 | Professional | None | $5.89 | $5.89 | $8.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.92 Median $8.71 Typical High $26.30 | Facility | None | $6.92 | $8.71 | $26.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.07 Median $4.27 Typical High $6.61 | Professional | None | $4.07 | $4.27 | $6.61 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $6.03 Median $8.71 Typical High $17.38 | Professional | QW · Waived lab test | $6.03 | $8.71 | $17.38 |
CareSource Setting Facility Modifier None Typical Low $10.96 Median $10.96 Typical High $10.96 | Facility | None | $10.96 | $10.96 | $10.96 |
CareSource Setting Professional Modifier None Typical Low $5.62 Median $8.71 Typical High $10.00 | Professional | None | $5.62 | $8.71 | $10.00 |
Cigna Setting Facility Modifier None Typical Low $5.62 Median $8.71 Typical High $28.84 | Facility | None | $5.62 | $8.71 | $28.84 |
Cigna Setting Professional Modifier None Typical Low $5.75 Median $11.48 Typical High $23.44 | Professional | None | $5.75 | $11.48 | $23.44 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $17.78 Median $912.01 Typical High $2,187.76 | Facility | None | $17.78 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier QW · Waived lab test Typical Low $5.62 Median $7.08 Typical High $7.94 | Professional | QW · Waived lab test | $5.62 | $7.08 | $7.94 |
United Setting Professional Modifier None Typical Low $3.63 Median $7.08 Typical High $10.47 | Professional | None | $3.63 | $7.08 | $10.47 |
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 $3.24 Median $3.55 Typical High $23.44 | Professional | 52 · Reduced service | $3.24 | $3.55 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.29 Median $1.41 Typical High $9.33 | Professional | 53 · Discontinued | $1.29 | $1.41 | $9.33 |
Where Indiana sits
The same service costs 10.5 times more in Vermont 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· 46th of 51
$6.92
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.