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 $2.57 Median $3.39 Typical High $6.17 | Facility | None | $2.57 | $3.39 | $6.17 |
Aetna Setting Professional Modifier None Typical Low $2.40 Median $2.88 Typical High $6.03 | Professional | None | $2.40 | $2.88 | $6.03 |
Ambetter Setting Professional Modifier None Typical Low $1.35 Median $2.14 Typical High $2.69 | Professional | None | $1.35 | $2.14 | $2.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.51 Median $3.16 Typical High $9.55 | Facility | None | $2.51 | $3.16 | $9.55 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.91 Median $2.34 Typical High $4.37 | Professional | None | $1.91 | $2.34 | $4.37 |
CareSource Setting Facility Modifier None Typical Low $3.98 Median $3.98 Typical High $3.98 | Facility | None | $3.98 | $3.98 | $3.98 |
CareSource Setting Professional Modifier None Typical Low $2.04 Median $3.16 Typical High $3.63 | Professional | None | $2.04 | $3.16 | $3.63 |
Cigna Setting Facility Modifier None Typical Low $2.04 Median $3.16 Typical High $10.72 | Facility | None | $2.04 | $3.16 | $10.72 |
Cigna Setting Professional Modifier None Typical Low $2.24 Median $3.98 Typical High $8.51 | Professional | None | $2.24 | $3.98 | $8.51 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $5.75 Median $7.94 Typical High $2,187.76 | Facility | None | $5.75 | $7.94 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $2.04 Median $2.57 Typical High $3.24 | Professional | None | $2.04 | $2.57 | $3.24 |
United Setting Professional Modifier None Typical Low $1.91 Median $3.24 Typical High $4.68 | Professional | None | $1.91 | $3.24 | $4.68 |
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 $1.20 Median $1.29 Typical High $2.63 | Professional | 52 · Reduced service | $1.20 | $1.29 | $2.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.48 Median $0.52 Typical High $1.07 | Professional | 53 · Discontinued | $0.48 | $0.52 | $1.07 |
Where Indiana sits
The same service costs 22.4 times more in Minnesota than in Washington, DC. 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· 49th of 51
$2.82
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.