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 $19.05 Median $25.70 Typical High $85.11 | Facility | None | $19.05 | $25.70 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $19.05 Typical High $112.20 | Professional | None | $16.98 | $19.05 | $112.20 |
Ambetter Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $14.45 | Professional | None | $12.30 | $12.30 | $14.45 |
Anthem BCBS Setting Facility Modifier None Typical Low $18.20 Median $22.91 Typical High $69.18 | Facility | None | $18.20 | $22.91 | $69.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.12 Median $12.30 Typical High $25.12 | Professional | None | $9.12 | $12.30 | $25.12 |
CareSource Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $14.79 Median $22.91 Typical High $64.57 | Facility | None | $14.79 | $22.91 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $26.30 Typical High $45.71 | Professional | None | $10.72 | $26.30 | $45.71 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $38.02 Median $57.54 Typical High $2,187.76 | Facility | None | $38.02 | $57.54 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $15.14 Median $18.62 Typical High $20.89 | Professional | None | $15.14 | $18.62 | $20.89 |
United Setting Professional Modifier None Typical Low $9.55 Median $14.13 Typical High $27.54 | Professional | None | $9.55 | $14.13 | $27.54 |
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 $8.71 Median $9.33 Typical High $54.95 | Professional | 52 · Reduced service | $8.71 | $9.33 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $3.80 Typical High $22.39 | Professional | 53 · Discontinued | $3.47 | $3.80 | $22.39 |
Where Indiana sits
The same service costs 4.9 times more in Kansas than in Kentucky. 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
$17.38
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.