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 $17.38 Median $25.70 Typical High $46.77 | Facility | None | $17.38 | $25.70 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $15.49 Median $17.38 Typical High $48.98 | Professional | None | $15.49 | $17.38 | $48.98 |
Ambetter Setting Professional Modifier None Typical Low $11.48 Median $13.18 Typical High $20.89 | Professional | None | $11.48 | $13.18 | $20.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.60 Median $20.89 Typical High $63.10 | Facility | None | $16.60 | $20.89 | $63.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.41 Median $9.77 Typical High $23.44 | Professional | None | $7.41 | $9.77 | $23.44 |
CareSource Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
CareSource Setting Professional Modifier None Typical Low $13.80 Median $20.89 Typical High $23.99 | Professional | None | $13.80 | $20.89 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $11.22 Median $20.89 Typical High $60.26 | Facility | None | $11.22 | $20.89 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $21.38 Typical High $41.69 | Professional | None | $10.00 | $21.38 | $41.69 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $11.22 Median $52.48 Typical High $2,187.76 | Facility | None | $11.22 | $52.48 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $13.80 Median $16.98 Typical High $19.05 | Professional | None | $13.80 | $16.98 | $19.05 |
United Setting Professional Modifier None Typical Low $4.17 Median $12.59 Typical High $25.12 | Professional | None | $4.17 | $12.59 | $25.12 |
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 $7.94 Median $8.71 Typical High $15.85 | Professional | 52 · Reduced service | $7.94 | $8.71 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.47 Typical High $6.31 | Professional | 53 · Discontinued | $3.16 | $3.47 | $6.31 |
Where Indiana sits
The same service costs 6.6 times more in Vermont 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· 49th of 51
$15.85
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.