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 $31.62 Median $47.86 Typical High $141.25 | Facility | None | $31.62 | $47.86 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $31.62 Typical High $169.82 | Professional | None | $28.84 | $31.62 | $169.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $30.20 Median $38.90 Typical High $114.82 | Facility | None | $30.20 | $38.90 | $114.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.49 Median $20.42 Typical High $50.12 | Professional | None | $15.49 | $20.42 | $50.12 |
CareSource Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $38.90 Typical High $109.65 | Facility | None | $25.12 | $38.90 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $20.42 Median $34.67 Typical High $74.13 | Professional | None | $20.42 | $34.67 | $74.13 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $64.57 Median $95.50 Typical High $2,187.76 | Facility | None | $64.57 | $95.50 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $25.12 Median $31.62 Typical High $42.66 | Professional | None | $25.12 | $31.62 | $42.66 |
United Setting Professional Modifier None Typical Low $16.22 Median $22.91 Typical High $46.77 | Professional | None | $16.22 | $22.91 | $46.77 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $19.50 Median $19.50 Typical High $20.89 | Professional | 90 · Outside lab | $19.50 | $19.50 | $20.89 |
Where Indiana sits
The same service costs 5.4 times more in Alaska than in Alabama. 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· 42nd of 51
$28.84
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.