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 $33.11 Median $50.12 Typical High $77.62 | Facility | None | $33.11 | $50.12 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $33.11 Typical High $131.83 | Professional | None | $30.90 | $33.11 | $131.83 |
Ambetter Setting Professional Modifier None Typical Low $24.55 Median $40.74 Typical High $40.74 | Professional | None | $24.55 | $40.74 | $40.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $32.36 Median $40.74 Typical High $123.03 | Facility | None | $32.36 | $40.74 | $123.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.95 Median $24.55 Typical High $56.23 | Professional | None | $19.95 | $24.55 | $56.23 |
CareSource Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
CareSource Setting Professional Modifier None Typical Low $26.30 Median $40.74 Typical High $46.77 | Professional | None | $26.30 | $40.74 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $26.30 Median $40.74 Typical High $134.90 | Facility | None | $26.30 | $40.74 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $50.12 Typical High $109.65 | Professional | None | $25.70 | $50.12 | $109.65 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $74.13 Median $102.33 Typical High $2,187.76 | Facility | None | $74.13 | $102.33 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $26.30 Median $33.11 Typical High $38.02 | Professional | None | $26.30 | $33.11 | $38.02 |
United Setting Professional Modifier None Typical Low $16.98 Median $33.88 Typical High $48.98 | Professional | None | $16.98 | $33.88 | $48.98 |
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 $15.14 Median $16.60 Typical High $91.20 | Professional | 52 · Reduced service | $15.14 | $16.60 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.61 Typical High $36.31 | Professional | 53 · Discontinued | $6.17 | $6.61 | $36.31 |
Where Indiana sits
The same service costs 22.9 times more in Vermont than in Alabama. 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· 43rd of 51
$33.11
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.