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 $11.22 Median $16.98 Typical High $26.30 | Facility | None | $11.22 | $16.98 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $11.22 Typical High $22.91 | Professional | None | $10.23 | $11.22 | $22.91 |
Ambetter Setting Professional Modifier None Typical Low $6.92 Median $8.32 Typical High $9.55 | Professional | None | $6.92 | $8.32 | $9.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.96 Median $13.80 Typical High $40.74 | Facility | None | $10.96 | $13.80 | $40.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.76 Median $8.32 Typical High $19.05 | Professional | None | $6.76 | $8.32 | $19.05 |
CareSource Setting Facility Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Facility | None | $16.98 | $16.98 | $16.98 |
CareSource Setting Professional Modifier None Typical Low $8.91 Median $13.80 Typical High $15.85 | Professional | None | $8.91 | $13.80 | $15.85 |
Cigna Setting Facility Modifier None Typical Low $8.91 Median $13.80 Typical High $45.71 | Facility | None | $8.91 | $13.80 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $8.91 Median $17.78 Typical High $37.15 | Professional | None | $8.91 | $17.78 | $37.15 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $24.55 Median $34.67 Typical High $2,187.76 | Facility | None | $24.55 | $34.67 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $8.91 Median $10.96 Typical High $12.88 | Professional | None | $8.91 | $10.96 | $12.88 |
United Setting Professional Modifier None Typical Low $5.75 Median $11.48 Typical High $16.60 | Professional | None | $5.75 | $11.48 | $16.60 |
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 $5.13 Median $5.62 Typical High $38.90 | Professional | 52 · Reduced service | $5.13 | $5.62 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.24 Typical High $15.49 | Professional | 53 · Discontinued | $2.04 | $2.24 | $15.49 |
Where Indiana sits
The same service costs 4.1 times more in Alaska 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· 47th of 51
$11.22
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.