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 $4.07 Median $5.50 Typical High $15.14 | Facility | None | $4.07 | $5.50 | $15.14 |
Aetna Setting Professional Modifier None Typical Low $3.72 Median $4.07 Typical High $8.32 | Professional | None | $3.72 | $4.07 | $8.32 |
Ambetter Setting Professional Modifier None Typical Low $3.31 Median $3.31 Typical High $4.90 | Professional | None | $3.31 | $3.31 | $4.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.89 Median $4.90 Typical High $14.79 | Facility | None | $3.89 | $4.90 | $14.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.69 Median $3.63 Typical High $6.03 | Professional | None | $2.69 | $3.63 | $6.03 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $3.39 Median $4.90 Typical High $10.00 | Professional | QW · Waived lab test | $3.39 | $4.90 | $10.00 |
CareSource Setting Facility Modifier None Typical Low $6.17 Median $6.17 Typical High $6.17 | Facility | None | $6.17 | $6.17 | $6.17 |
CareSource Setting Professional Modifier None Typical Low $3.24 Median $4.90 Typical High $5.75 | Professional | None | $3.24 | $4.90 | $5.75 |
Cigna Setting Facility Modifier None Typical Low $3.24 Median $4.90 Typical High $16.60 | Facility | None | $3.24 | $4.90 | $16.60 |
Cigna Setting Professional Modifier None Typical Low $3.24 Median $6.03 Typical High $12.59 | Professional | None | $3.24 | $6.03 | $12.59 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $10.00 Median $912.01 Typical High $2,187.76 | Facility | None | $10.00 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier QW · Waived lab test Typical Low $3.24 Median $3.98 Typical High $4.79 | Professional | QW · Waived lab test | $3.24 | $3.98 | $4.79 |
United Setting Professional Modifier None Typical Low $2.09 Median $3.63 Typical High $6.03 | Professional | None | $2.09 | $3.63 | $6.03 |
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 $1.86 Median $2.04 Typical High $7.08 | Professional | 52 · Reduced service | $1.86 | $2.04 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.74 Median $0.81 Typical High $2.82 | Professional | 53 · Discontinued | $0.74 | $0.81 | $2.82 |
Where Indiana sits
The same service costs 9.3 times more in Vermont than in Georgia. 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· 38th of 51
$4.47
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.