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 $1.86 Median $2.51 Typical High $4.27 | Facility | None | $1.86 | $2.51 | $4.27 |
Aetna Setting Professional Modifier None Typical Low $1.82 Median $2.04 Typical High $5.62 | Professional | None | $1.82 | $2.04 | $5.62 |
Ambetter Setting Professional Modifier None Typical Low $1.35 Median $1.51 Typical High $1.58 | Professional | None | $1.35 | $1.51 | $1.58 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $1.12 Median $1.58 Typical High $95.50 | Professional | QW · Waived lab test | $1.12 | $1.58 | $95.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $1.78 Median $2.24 Typical High $6.76 | Facility | None | $1.78 | $2.24 | $6.76 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.12 Median $1.66 Typical High $2.51 | Professional | None | $1.12 | $1.66 | $2.51 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $2.24 Median $3.09 Typical High $4.47 | Professional | QW · Waived lab test | $2.24 | $3.09 | $4.47 |
CareSource Setting Facility Modifier None Typical Low $2.82 Median $2.82 Typical High $2.82 | Facility | None | $2.82 | $2.82 | $2.82 |
CareSource Setting Professional Modifier None Typical Low $1.45 Median $2.24 Typical High $2.57 | Professional | None | $1.45 | $2.24 | $2.57 |
Cigna Setting Facility Modifier None Typical Low $1.45 Median $2.24 Typical High $7.59 | Facility | None | $1.45 | $2.24 | $7.59 |
Cigna Setting Professional Modifier None Typical Low $1.58 Median $2.45 Typical High $4.68 | Professional | None | $1.58 | $2.45 | $4.68 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $4.57 Median $912.01 Typical High $2,187.76 | Facility | None | $4.57 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier QW · Waived lab test Typical Low $1.45 Median $1.86 Typical High $2.40 | Professional | QW · Waived lab test | $1.45 | $1.86 | $2.40 |
United Setting Professional Modifier None Typical Low $1.35 Median $2.29 Typical High $3.31 | Professional | None | $1.35 | $2.29 | $3.31 |
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 $0.85 Median $0.93 Typical High $6.46 | Professional | 52 · Reduced service | $0.85 | $0.93 | $6.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.34 Median $0.37 Typical High $2.57 | Professional | 53 · Discontinued | $0.34 | $0.37 | $2.57 |
Where Indiana sits
The same service costs 20.4 times more in Vermont 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
$1.91
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.