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 $4.17 Median $5.50 Typical High $12.88 | Facility | None | $4.17 | $5.50 | $12.88 |
Aetna Setting Professional Modifier None Typical Low $3.80 Median $4.27 Typical High $19.95 | Professional | None | $3.80 | $4.27 | $19.95 |
Ambetter Setting Professional Modifier None Typical Low $2.57 Median $3.47 Typical High $5.13 | Professional | None | $2.57 | $3.47 | $5.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.07 Median $5.13 Typical High $15.49 | Facility | None | $4.07 | $5.13 | $15.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.40 Median $3.55 Typical High $6.03 | Professional | None | $2.40 | $3.55 | $6.03 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $3.55 Median $5.13 Typical High $10.23 | Professional | QW · Waived lab test | $3.55 | $5.13 | $10.23 |
CareSource Setting Facility Modifier None Typical Low $6.46 Median $6.46 Typical High $6.46 | Facility | None | $6.46 | $6.46 | $6.46 |
CareSource Setting Professional Modifier None Typical Low $3.31 Median $5.13 Typical High $5.89 | Professional | None | $3.31 | $5.13 | $5.89 |
Cigna Setting Facility Modifier None Typical Low $3.31 Median $5.13 Typical High $16.98 | Facility | None | $3.31 | $5.13 | $16.98 |
Cigna Setting Professional Modifier None Typical Low $3.39 Median $6.31 Typical High $13.80 | Professional | None | $3.39 | $6.31 | $13.80 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $10.47 Median $912.01 Typical High $2,187.76 | Facility | None | $10.47 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier QW · Waived lab test Typical Low $3.31 Median $4.17 Typical High $4.79 | Professional | QW · Waived lab test | $3.31 | $4.17 | $4.79 |
United Setting Professional Modifier None Typical Low $2.14 Median $4.27 Typical High $6.17 | Professional | None | $2.14 | $4.27 | $6.17 |
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 $1.91 Median $2.09 Typical High $6.46 | Professional | 52 · Reduced service | $1.91 | $2.09 | $6.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.78 Median $0.83 Typical High $2.57 | Professional | 53 · Discontinued | $0.78 | $0.83 | $2.57 |
Where Indiana sits
The same service costs 9.5 times more in Minnesota than in New Jersey. 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· 42nd of 51
$4.68
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.