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 $3.72 Median $7.59 Typical High $16.98 | Facility | None | $3.72 | $7.59 | $16.98 |
Aetna Setting Professional Modifier None Typical Low $3.39 Median $3.72 Typical High $19.05 | Professional | None | $3.39 | $3.72 | $19.05 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.63 Median $4.57 Typical High $13.80 | Facility | None | $3.63 | $4.57 | $13.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.24 Median $2.75 Typical High $6.31 | Professional | None | $2.24 | $2.75 | $6.31 |
CareSource Setting Facility Modifier None Typical Low $5.75 Median $5.75 Typical High $5.75 | Facility | None | $5.75 | $5.75 | $5.75 |
Cigna Setting Facility Modifier None Typical Low $3.24 Median $5.62 Typical High $15.14 | Facility | None | $3.24 | $5.62 | $15.14 |
Cigna Setting Professional Modifier None Typical Low $2.82 Median $6.61 Typical High $11.22 | Professional | None | $2.82 | $6.61 | $11.22 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $8.13 Median $11.48 Typical High $2,187.76 | Facility | None | $8.13 | $11.48 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $2.95 Median $3.72 Typical High $3.98 | Professional | None | $2.95 | $3.72 | $3.98 |
United Setting Professional Modifier None Typical Low $1.91 Median $3.72 Typical High $5.50 | Professional | None | $1.91 | $3.72 | $5.50 |
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 $1.70 Median $1.86 Typical High $9.55 | Professional | 52 · Reduced service | $1.70 | $1.86 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.68 Median $0.76 Typical High $3.80 | Professional | 53 · Discontinued | $0.68 | $0.76 | $3.80 |
Where Indiana sits
The same service costs 3.5 times more in Alaska than in Connecticut. 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· 43rd of 51
$3.63
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.