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 $57.54 Typical High $154.88 | Professional | None | $14.13 | $57.54 | $154.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.31 Median $6.31 Typical High $12.30 | Facility | None | $6.31 | $6.31 | $12.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.31 Median $8.32 Typical High $26.30 | Professional | None | $6.31 | $8.32 | $26.30 |
Cigna Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $40.74 | Professional | None | $8.32 | $8.32 | $40.74 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $26.30 Median $50.12 Typical High $2,187.76 | Facility | None | $26.30 | $50.12 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
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 3981.1 times more in Montana than in Tennessee. 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· 41st of 51
$8.51
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.