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 $67.61 Typical High $117.49 | Professional | None | $14.13 | $67.61 | $117.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.76 Median $6.76 Typical High $13.18 | Facility | None | $6.76 | $6.76 | $13.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.76 Median $9.12 Typical High $21.88 | Professional | None | $6.76 | $9.12 | $21.88 |
CareSource Setting Professional Modifier None Typical Low $14.45 Median $21.88 Typical High $25.12 | Professional | None | $14.45 | $21.88 | $25.12 |
Cigna Setting Professional Modifier None Typical Low $8.91 Median $21.88 Typical High $45.71 | Professional | None | $8.91 | $21.88 | $45.71 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $28.18 Median $53.70 Typical High $2,187.76 | Facility | None | $28.18 | $53.70 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | None | $26.30 | $26.30 | $26.30 |
United Setting Professional Modifier None Typical Low $9.33 Median $16.60 Typical High $26.92 | Professional | None | $9.33 | $16.60 | $26.92 |
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 $8.32 Median $8.32 Typical High $8.32 | Professional | 90 · Outside lab | $8.32 | $8.32 | $8.32 |
Where Indiana sits
The same service costs 14.8 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· 44th of 51
$12.88
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.