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 $1.78 Median $3.63 Typical High $7.94 | Facility | None | $1.78 | $3.63 | $7.94 |
Aetna Setting Professional Modifier None Typical Low $1.62 Median $1.78 Typical High $3.63 | Professional | None | $1.62 | $1.78 | $3.63 |
Anthem BCBS Setting Facility Modifier None Typical Low $1.70 Median $2.19 Typical High $6.46 | Facility | None | $1.70 | $2.19 | $6.46 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.07 Median $1.32 Typical High $3.02 | Professional | None | $1.07 | $1.32 | $3.02 |
CareSource Setting Facility Modifier None Typical Low $2.69 Median $2.69 Typical High $2.69 | Facility | None | $2.69 | $2.69 | $2.69 |
Cigna Setting Facility Modifier None Typical Low $1.41 Median $2.19 Typical High $7.24 | Facility | None | $1.41 | $2.19 | $7.24 |
Cigna Setting Professional Modifier None Typical Low $1.41 Median $2.63 Typical High $5.62 | Professional | None | $1.41 | $2.63 | $5.62 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $3.89 Median $5.37 Typical High $2,187.76 | Facility | None | $3.89 | $5.37 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $1.38 Median $1.58 Typical High $1.86 | Professional | None | $1.38 | $1.58 | $1.86 |
United Setting Professional Modifier None Typical Low $1.29 Median $2.19 Typical High $3.16 | Professional | None | $1.29 | $2.19 | $3.16 |
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 $0.81 Median $0.89 Typical High $1.82 | Professional | 52 · Reduced service | $0.81 | $0.89 | $1.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.33 Median $0.36 Typical High $0.72 | Professional | 53 · Discontinued | $0.33 | $0.36 | $0.72 |
Where Indiana sits
The same service costs 3.2 times more in Kansas 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
$1.78
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.