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 $22.91 Median $30.90 Typical High $102.33 | Facility | None | $22.91 | $30.90 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $22.91 Typical High $46.77 | Professional | None | $20.89 | $22.91 | $46.77 |
Anthem BCBS Setting Facility Modifier None Typical Low $21.88 Median $27.54 Typical High $83.18 | Facility | None | $21.88 | $27.54 | $83.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.18 Median $15.85 Typical High $38.90 | Professional | None | $13.18 | $15.85 | $38.90 |
CareSource Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
CareSource Setting Professional Modifier None Typical Low $18.20 Median $27.54 Typical High $31.62 | Professional | None | $18.20 | $27.54 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $18.20 Median $27.54 Typical High $93.33 | Facility | None | $18.20 | $27.54 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $34.67 Typical High $75.86 | Professional | None | $17.78 | $34.67 | $75.86 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $50.12 Median $69.18 Typical High $2,187.76 | Facility | None | $50.12 | $69.18 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $18.20 Median $22.39 Typical High $25.70 | Professional | None | $18.20 | $22.39 | $25.70 |
United Setting Professional Modifier None Typical Low $11.75 Median $23.44 Typical High $33.88 | Professional | None | $11.75 | $23.44 | $33.88 |
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 $10.47 Median $11.48 Typical High $22.91 | Professional | 52 · Reduced service | $10.47 | $11.48 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $4.57 Typical High $9.33 | Professional | 53 · Discontinued | $4.17 | $4.57 | $9.33 |
Where Indiana sits
The same service costs 3.5 times more in Alaska 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· 48th of 51
$22.39
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.