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 $3.31 Median $5.62 Typical High $14.79 | Facility | None | $3.31 | $5.62 | $14.79 |
Aetna Setting Professional Modifier None Typical Low $3.02 Median $3.31 Typical High $6.03 | Professional | None | $3.02 | $3.31 | $6.03 |
Ambetter Setting Professional Modifier None Typical Low $2.00 Median $2.69 Typical High $4.27 | Professional | None | $2.00 | $2.69 | $4.27 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.16 Median $3.98 Typical High $12.02 | Facility | None | $3.16 | $3.98 | $12.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.40 Median $2.63 Typical High $4.68 | Professional | None | $2.40 | $2.63 | $4.68 |
CareSource Setting Facility Modifier None Typical Low $5.01 Median $5.01 Typical High $5.01 | Facility | None | $5.01 | $5.01 | $5.01 |
CareSource Setting Professional Modifier None Typical Low $2.63 Median $3.98 Typical High $4.57 | Professional | None | $2.63 | $3.98 | $4.57 |
Cigna Setting Facility Modifier None Typical Low $2.63 Median $3.98 Typical High $11.48 | Facility | None | $2.63 | $3.98 | $11.48 |
Cigna Setting Professional Modifier None Typical Low $2.24 Median $4.57 Typical High $8.51 | Professional | None | $2.24 | $4.57 | $8.51 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $6.61 Median $10.00 Typical High $2,187.76 | Facility | None | $6.61 | $10.00 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $2.63 Median $3.24 Typical High $3.98 | Professional | None | $2.63 | $3.24 | $3.98 |
United Setting Professional Modifier None Typical Low $2.40 Median $3.98 Typical High $4.79 | Professional | None | $2.40 | $3.98 | $4.79 |
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 $1.51 Median $1.66 Typical High $5.01 | Professional | 52 · Reduced service | $1.51 | $1.66 | $5.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.60 Median $0.66 Typical High $2.00 | Professional | 53 · Discontinued | $0.60 | $0.66 | $2.00 |
Where Indiana sits
The same service costs 2.8 times more in Alaska than in North Carolina. 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· 46th of 51
$3.39
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.