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 $6.76 Median $8.91 Typical High $15.49 | Facility | None | $6.76 | $8.91 | $15.49 |
Aetna Setting Professional Modifier None Typical Low $6.17 Median $6.92 Typical High $26.30 | Professional | None | $6.17 | $6.92 | $26.30 |
Ambetter Setting Professional Modifier None Typical Low $5.37 Median $5.50 Typical High $8.13 | Professional | None | $5.37 | $5.50 | $8.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.46 Median $8.13 Typical High $24.55 | Facility | None | $6.46 | $8.13 | $24.55 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.02 Median $4.07 Typical High $9.33 | Professional | None | $3.02 | $4.07 | $9.33 |
CareSource Setting Facility Modifier None Typical Low $10.23 Median $10.23 Typical High $10.23 | Facility | None | $10.23 | $10.23 | $10.23 |
CareSource Setting Professional Modifier None Typical Low $5.37 Median $8.13 Typical High $9.33 | Professional | None | $5.37 | $8.13 | $9.33 |
Cigna Setting Facility Modifier None Typical Low $5.37 Median $8.13 Typical High $27.54 | Facility | None | $5.37 | $8.13 | $27.54 |
Cigna Setting Professional Modifier None Typical Low $5.25 Median $11.75 Typical High $20.42 | Professional | None | $5.25 | $11.75 | $20.42 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $14.79 Median $20.42 Typical High $2,187.76 | Facility | None | $14.79 | $20.42 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $5.37 Median $6.76 Typical High $8.91 | Professional | None | $5.37 | $6.76 | $8.91 |
United Setting Professional Modifier None Typical Low $3.47 Median $5.50 Typical High $9.77 | Professional | None | $3.47 | $5.50 | $9.77 |
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 $3.09 Median $3.39 Typical High $23.99 | Professional | 52 · Reduced service | $3.09 | $3.39 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.23 Median $1.35 Typical High $9.55 | Professional | 53 · Discontinued | $1.23 | $1.35 | $9.55 |
Where Indiana sits
The same service costs 17.0 times more in Vermont 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· 47th 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.