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 $15.49 Median $22.91 Typical High $69.18 | Facility | None | $15.49 | $22.91 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $15.49 Typical High $109.65 | Professional | None | $14.13 | $15.49 | $109.65 |
Ambetter Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $13.18 | Professional | None | $11.22 | $11.22 | $13.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.79 Median $18.62 Typical High $56.23 | Facility | None | $14.79 | $18.62 | $56.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.91 Median $10.96 Typical High $25.70 | Professional | None | $8.91 | $10.96 | $25.70 |
CareSource Setting Facility Modifier None Typical Low $23.44 Median $23.44 Typical High $23.44 | Facility | None | $23.44 | $23.44 | $23.44 |
CareSource Setting Professional Modifier None Typical Low $12.30 Median $18.62 Typical High $21.38 | Professional | None | $12.30 | $18.62 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $12.30 Median $18.62 Typical High $63.10 | Facility | None | $12.30 | $18.62 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $26.92 Typical High $51.29 | Professional | None | $12.02 | $26.92 | $51.29 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $33.88 Median $46.77 Typical High $2,187.76 | Facility | None | $33.88 | $46.77 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $12.30 Median $15.14 Typical High $17.78 | Professional | None | $12.30 | $15.14 | $17.78 |
United Setting Professional Modifier None Typical Low $7.94 Median $15.85 Typical High $22.91 | Professional | None | $7.94 | $15.85 | $22.91 |
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 $7.08 Median $7.76 Typical High $54.95 | Professional | 52 · Reduced service | $7.08 | $7.76 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $3.09 Typical High $21.88 | Professional | 53 · Discontinued | $2.82 | $3.09 | $21.88 |
Where Indiana sits
The same service costs 10.0 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· 44th of 51
$15.49
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.