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 $14.13 Median $20.89 Typical High $63.10 | Facility | None | $14.13 | $20.89 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $14.13 Typical High $61.66 | Professional | None | $12.88 | $14.13 | $61.66 |
Ambetter Setting Professional Modifier None Typical Low $10.23 Median $12.02 Typical High $16.98 | Professional | None | $10.23 | $12.02 | $16.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.49 Median $16.98 Typical High $51.29 | Facility | None | $13.49 | $16.98 | $51.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.13 Median $9.77 Typical High $23.44 | Professional | None | $8.13 | $9.77 | $23.44 |
CareSource Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | None | $21.38 | $21.38 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $11.22 Median $16.98 Typical High $57.54 | Facility | None | $11.22 | $16.98 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $10.96 Median $20.89 Typical High $44.67 | Professional | None | $10.96 | $20.89 | $44.67 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $30.90 Median $42.66 Typical High $2,187.76 | Facility | None | $30.90 | $42.66 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $11.22 Median $13.80 Typical High $15.85 | Professional | None | $11.22 | $13.80 | $15.85 |
United Setting Professional Modifier None Typical Low $7.24 Median $12.30 Typical High $20.89 | Professional | None | $7.24 | $12.30 | $20.89 |
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 $6.46 Median $7.08 Typical High $30.90 | Professional | 52 · Reduced service | $6.46 | $7.08 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.57 Median $2.82 Typical High $12.30 | Professional | 53 · Discontinued | $2.57 | $2.82 | $12.30 |
Where Indiana sits
The same service costs 4.2 times more in Kansas 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· 48th of 51
$13.49
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.