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 $20.89 Median $30.90 Typical High $93.33 | Facility | None | $20.89 | $30.90 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $20.89 Typical High $138.04 | Professional | None | $19.05 | $20.89 | $138.04 |
Ambetter Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $17.38 | Professional | None | $15.14 | $15.14 | $17.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.95 Median $25.12 Typical High $75.86 | Facility | None | $19.95 | $25.12 | $75.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.59 Median $15.14 Typical High $34.67 | Professional | None | $12.59 | $15.14 | $34.67 |
CareSource Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $16.60 Median $25.12 Typical High $85.11 | Facility | None | $16.60 | $25.12 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $30.90 Typical High $69.18 | Professional | None | $16.22 | $30.90 | $69.18 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $45.71 Median $63.10 Typical High $2,187.76 | Facility | None | $45.71 | $63.10 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $16.60 Median $20.42 Typical High $23.44 | Professional | None | $16.60 | $20.42 | $23.44 |
United Setting Professional Modifier None Typical Low $10.72 Median $21.38 Typical High $30.90 | Professional | None | $10.72 | $21.38 | $30.90 |
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 $9.55 Median $10.47 Typical High $69.18 | Professional | 52 · Reduced service | $9.55 | $10.47 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $4.17 Typical High $27.54 | Professional | 53 · Discontinued | $3.80 | $4.17 | $27.54 |
Where Indiana sits
The same service costs 3.7 times more in Kansas than in Alabama. 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· 46th of 51
$20.42
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.