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 $11.22 Median $16.98 Typical High $32.36 | Facility | None | $11.22 | $16.98 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $11.48 Typical High $44.67 | Professional | None | $10.23 | $11.48 | $44.67 |
Ambetter Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $13.80 | Professional | None | $9.33 | $9.33 | $13.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.72 Median $13.80 Typical High $40.74 | Facility | None | $10.72 | $13.80 | $40.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.46 Median $6.76 Typical High $10.47 | Professional | None | $6.46 | $6.76 | $10.47 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $9.33 Median $13.80 Typical High $27.54 | Professional | QW · Waived lab test | $9.33 | $13.80 | $27.54 |
CareSource Setting Facility Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Facility | None | $16.98 | $16.98 | $16.98 |
CareSource Setting Professional Modifier None Typical Low $8.91 Median $13.80 Typical High $15.85 | Professional | None | $8.91 | $13.80 | $15.85 |
Cigna Setting Facility Modifier None Typical Low $8.91 Median $13.80 Typical High $45.71 | Facility | None | $8.91 | $13.80 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $8.91 Median $15.85 Typical High $37.15 | Professional | None | $8.91 | $15.85 | $37.15 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $16.98 Median $912.01 Typical High $2,187.76 | Facility | None | $16.98 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier QW · Waived lab test Typical Low $8.91 Median $10.96 Typical High $12.88 | Professional | QW · Waived lab test | $8.91 | $10.96 | $12.88 |
United Setting Professional Modifier None Typical Low $5.75 Median $8.13 Typical High $16.60 | Professional | None | $5.75 | $8.13 | $16.60 |
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 $5.13 Median $5.62 Typical High $39.81 | Professional | 52 · Reduced service | $5.13 | $5.62 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.24 Typical High $15.85 | Professional | 53 · Discontinued | $2.04 | $2.24 | $15.85 |
Where Indiana sits
The same service costs 9.5 times more in Vermont than in Indiana. 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· 51st of 51
$10.23
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.