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 $31.62 Median $46.77 Typical High $72.44 | Facility | None | $31.62 | $46.77 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $31.62 Typical High $64.57 | Professional | None | $28.84 | $31.62 | $64.57 |
Ambetter Setting Professional Modifier None Typical Low $22.91 Median $26.92 Typical High $26.92 | Professional | None | $22.91 | $26.92 | $26.92 |
Anthem BCBS Setting Facility Modifier None Typical Low $30.20 Median $38.90 Typical High $114.82 | Facility | None | $30.20 | $38.90 | $114.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.05 Median $23.44 Typical High $53.70 | Professional | None | $19.05 | $23.44 | $53.70 |
CareSource Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
CareSource Setting Professional Modifier None Typical Low $25.12 Median $38.90 Typical High $44.67 | Professional | None | $25.12 | $38.90 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $38.90 Typical High $128.82 | Facility | None | $25.12 | $38.90 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $46.77 Typical High $104.71 | Professional | None | $24.55 | $46.77 | $104.71 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $69.18 Median $95.50 Typical High $2,187.76 | Facility | None | $69.18 | $95.50 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $25.12 Median $30.90 Typical High $35.48 | Professional | None | $25.12 | $30.90 | $35.48 |
United Setting Professional Modifier None Typical Low $16.22 Median $32.36 Typical High $46.77 | Professional | None | $16.22 | $32.36 | $46.77 |
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 $14.45 Median $15.85 Typical High $109.65 | Professional | 52 · Reduced service | $14.45 | $15.85 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $6.31 Typical High $43.65 | Professional | 53 · Discontinued | $5.75 | $6.31 | $43.65 |
Where Indiana sits
The same service costs 3.6 times more in Alaska 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· 43rd of 51
$31.62
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.