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 $4.07 Median $5.37 Typical High $9.55 | Facility | None | $4.07 | $5.37 | $9.55 |
Aetna Setting Professional Modifier None Typical Low $3.80 Median $4.27 Typical High $8.32 | Professional | None | $3.80 | $4.27 | $8.32 |
Ambetter Setting Professional Modifier None Typical Low $3.31 Median $3.39 Typical High $5.01 | Professional | None | $3.31 | $3.39 | $5.01 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.98 Median $5.01 Typical High $15.14 | Facility | None | $3.98 | $5.01 | $15.14 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.91 Median $2.57 Typical High $7.08 | Professional | None | $1.91 | $2.57 | $7.08 |
CareSource Setting Facility Modifier None Typical Low $6.31 Median $6.31 Typical High $6.31 | Facility | None | $6.31 | $6.31 | $6.31 |
CareSource Setting Professional Modifier None Typical Low $3.24 Median $5.01 Typical High $5.75 | Professional | None | $3.24 | $5.01 | $5.75 |
Cigna Setting Facility Modifier None Typical Low $3.24 Median $5.01 Typical High $16.60 | Facility | None | $3.24 | $5.01 | $16.60 |
Cigna Setting Professional Modifier None Typical Low $3.31 Median $6.31 Typical High $13.49 | Professional | None | $3.31 | $6.31 | $13.49 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $9.12 Median $12.59 Typical High $2,187.76 | Facility | None | $9.12 | $12.59 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $3.24 Median $4.07 Typical High $4.79 | Professional | None | $3.24 | $4.07 | $4.79 |
United Setting Professional Modifier None Typical Low $2.09 Median $4.17 Typical High $6.03 | Professional | None | $2.09 | $4.17 | $6.03 |
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 $1.91 Median $2.04 Typical High $4.17 | Professional | 52 · Reduced service | $1.91 | $2.04 | $4.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.76 Median $0.81 Typical High $1.66 | Professional | 53 · Discontinued | $0.76 | $0.81 | $1.66 |
Where Indiana sits
The same service costs 8.9 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· 47th of 51
$4.07
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.