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 $7.59 Median $15.49 Typical High $33.88 | Facility | None | $7.59 | $15.49 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $6.92 Median $7.59 Typical High $72.44 | Professional | None | $6.92 | $7.59 | $72.44 |
Ambetter Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $6.46 | Professional | None | $5.50 | $5.50 | $6.46 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.24 Median $9.12 Typical High $27.54 | Facility | None | $7.24 | $9.12 | $27.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.37 Median $5.25 Typical High $12.88 | Professional | None | $4.37 | $5.25 | $12.88 |
CareSource Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Facility | None | $11.48 | $11.48 | $11.48 |
Cigna Setting Facility Modifier None Typical Low $6.03 Median $9.12 Typical High $30.90 | Facility | None | $6.03 | $9.12 | $30.90 |
Cigna Setting Professional Modifier None Typical Low $5.89 Median $11.48 Typical High $25.12 | Professional | None | $5.89 | $11.48 | $25.12 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $16.60 Median $22.91 Typical High $2,187.76 | Facility | None | $16.60 | $22.91 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $6.03 Median $7.41 Typical High $8.71 | Professional | None | $6.03 | $7.41 | $8.71 |
United Setting Professional Modifier None Typical Low $3.89 Median $7.59 Typical High $11.22 | Professional | None | $3.89 | $7.59 | $11.22 |
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 $3.47 Median $3.80 Typical High $36.31 | Professional | 52 · Reduced service | $3.47 | $3.80 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.38 Median $1.51 Typical High $14.45 | Professional | 53 · Discontinued | $1.38 | $1.51 | $14.45 |
Where Indiana sits
The same service costs 3.6 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· 47th of 51
$7.41
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.