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 $13.80 Median $20.42 Typical High $31.62 | Facility | None | $13.80 | $20.42 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $13.80 Typical High $41.69 | Professional | None | $12.59 | $13.80 | $41.69 |
Ambetter Setting Professional Modifier None Typical Low $8.32 Median $11.75 Typical High $16.60 | Professional | None | $8.32 | $11.75 | $16.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.18 Median $16.60 Typical High $50.12 | Facility | None | $13.18 | $16.60 | $50.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.94 Median $9.55 Typical High $23.44 | Professional | None | $7.94 | $9.55 | $23.44 |
CareSource Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
CareSource Setting Professional Modifier None Typical Low $10.96 Median $16.60 Typical High $19.50 | Professional | None | $10.96 | $16.60 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $10.96 Median $16.60 Typical High $56.23 | Facility | None | $10.96 | $16.60 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $20.89 Typical High $45.71 | Professional | None | $10.72 | $20.89 | $45.71 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $30.20 Median $41.69 Typical High $2,187.76 | Facility | None | $30.20 | $41.69 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $10.96 Median $13.49 Typical High $15.14 | Professional | None | $10.96 | $13.49 | $15.14 |
United Setting Professional Modifier None Typical Low $7.08 Median $13.80 Typical High $20.42 | Professional | None | $7.08 | $13.80 | $20.42 |
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 $6.31 Median $6.92 Typical High $46.77 | Professional | 52 · Reduced service | $6.31 | $6.92 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $2.75 Typical High $18.62 | Professional | 53 · Discontinued | $2.51 | $2.75 | $18.62 |
Where Indiana sits
The same service costs 7.9 times more in Vermont than in Maryland. 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
$13.80
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.