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 $13.49 Median $18.20 Typical High $43.65 | Facility | None | $13.49 | $18.20 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $13.80 Typical High $52.48 | Professional | None | $12.30 | $13.80 | $52.48 |
Ambetter Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $16.22 | Professional | None | $10.96 | $10.96 | $16.22 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.88 Median $16.22 Typical High $48.98 | Facility | None | $12.88 | $16.22 | $48.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.76 Median $9.33 Typical High $21.38 | Professional | None | $7.76 | $9.33 | $21.38 |
CareSource Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Facility | None | $20.42 | $20.42 | $20.42 |
CareSource Setting Professional Modifier None Typical Low $10.72 Median $16.22 Typical High $18.62 | Professional | None | $10.72 | $16.22 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $10.72 Median $16.22 Typical High $54.95 | Facility | None | $10.72 | $16.22 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $20.42 Typical High $44.67 | Professional | None | $10.47 | $20.42 | $44.67 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $29.51 Median $40.74 Typical High $2,187.76 | Facility | None | $29.51 | $40.74 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $10.72 Median $13.18 Typical High $15.14 | Professional | None | $10.72 | $13.18 | $15.14 |
United Setting Professional Modifier None Typical Low $6.92 Median $12.59 Typical High $19.50 | Professional | None | $6.92 | $12.59 | $19.50 |
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 $6.17 Median $6.76 Typical High $13.49 | Professional | 52 · Reduced service | $6.17 | $6.76 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.69 Typical High $5.37 | Professional | 53 · Discontinued | $2.45 | $2.69 | $5.37 |
Where Indiana sits
The same service costs 8.5 times more in Vermont 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
$13.18
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.