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 $14.79 Median $30.20 Typical High $66.07 | Facility | None | $14.79 | $30.20 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $14.79 Typical High $91.20 | Professional | None | $13.49 | $14.79 | $91.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.13 Median $18.20 Typical High $53.70 | Facility | None | $14.13 | $18.20 | $53.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.91 Median $10.96 Typical High $26.92 | Professional | None | $8.91 | $10.96 | $26.92 |
CareSource Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Facility | None | $22.39 | $22.39 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $13.18 Median $23.99 Typical High $60.26 | Facility | None | $13.18 | $23.99 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $25.12 Typical High $52.48 | Professional | None | $13.18 | $25.12 | $52.48 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $32.36 Median $44.67 Typical High $2,187.76 | Facility | None | $32.36 | $44.67 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $11.75 Median $14.45 Typical High $16.98 | Professional | None | $11.75 | $14.45 | $16.98 |
United Setting Professional Modifier None Typical Low $7.59 Median $14.45 Typical High $21.88 | Professional | None | $7.59 | $14.45 | $21.88 |
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 $6.76 Median $7.41 Typical High $45.71 | Professional | 52 · Reduced service | $6.76 | $7.41 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $2.95 Typical High $18.20 | Professional | 53 · Discontinued | $2.69 | $2.95 | $18.20 |
Where Indiana sits
The same service costs 4.7 times more in Kansas than in Texas. 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
$14.45
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.