How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $0.02 Median $0.05 Typical High $0.05 | Facility | None | $0.02 | $0.05 | $0.05 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $125.89 Typical High $154.88 | Professional | None | $14.13 | $125.89 | $154.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.90 Median $4.90 Typical High $9.55 | Facility | None | $4.90 | $4.90 | $9.55 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.90 Median $6.61 Typical High $18.20 | Professional | None | $4.90 | $6.61 | $18.20 |
Cigna Setting Professional Modifier None Typical Low $6.46 Median $17.38 Typical High $45.71 | Professional | None | $6.46 | $17.38 | $45.71 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $20.42 Median $38.90 Typical High $2,187.76 | Facility | None | $20.42 | $38.90 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | None | $24.55 | $24.55 | $24.55 |
United Setting Professional Modifier None Typical Low $9.33 Median $13.18 Typical High $26.30 | Professional | None | $9.33 | $13.18 | $26.30 |
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 $7.94 Median $7.94 Typical High $7.94 | Professional | 90 · Outside lab | $7.94 | $7.94 | $7.94 |
Where Indiana sits
The same service costs 20.4 times more in Alaska than in Georgia. 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
$10.23
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.