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 $2.82 Median $4.27 Typical High $12.88 | Facility | None | $2.82 | $4.27 | $12.88 |
Aetna Setting Professional Modifier None Typical Low $2.63 Median $2.95 Typical High $6.03 | Professional | None | $2.63 | $2.95 | $6.03 |
Ambetter Setting Professional Modifier None Typical Low $1.48 Median $1.78 Typical High $3.80 | Professional | None | $1.48 | $1.78 | $3.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.75 Median $3.47 Typical High $10.47 | Facility | None | $2.75 | $3.47 | $10.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.00 Median $2.14 Typical High $4.07 | Professional | None | $2.00 | $2.14 | $4.07 |
CareSource Setting Facility Modifier None Typical Low $4.37 Median $4.37 Typical High $4.37 | Facility | None | $4.37 | $4.37 | $4.37 |
CareSource Setting Professional Modifier None Typical Low $2.24 Median $3.47 Typical High $3.98 | Professional | None | $2.24 | $3.47 | $3.98 |
Cigna Setting Facility Modifier None Typical Low $2.24 Median $3.47 Typical High $9.77 | Facility | None | $2.24 | $3.47 | $9.77 |
Cigna Setting Professional Modifier None Typical Low $1.82 Median $4.07 Typical High $6.92 | Professional | None | $1.82 | $4.07 | $6.92 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $5.75 Median $8.71 Typical High $2,187.76 | Facility | None | $5.75 | $8.71 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $2.29 Median $2.82 Typical High $3.24 | Professional | None | $2.29 | $2.82 | $3.24 |
United Setting Professional Modifier None Typical Low $2.09 Median $3.47 Typical High $4.17 | Professional | None | $2.09 | $3.47 | $4.17 |
3 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 $1.32 Median $1.45 Typical High $6.46 | Professional | 52 · Reduced service | $1.32 | $1.45 | $6.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.52 Median $0.56 Typical High $2.57 | Professional | 53 · Discontinued | $0.52 | $0.56 | $2.57 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $1.48 Median $1.74 Typical High $3.89 | Professional | QW · Waived lab test | $1.48 | $1.74 | $3.89 |
Where Indiana sits
The same service costs 3.5 times more in Alaska than in New Jersey. 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
$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.