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 $64.57 | Facility | None | $22.91 | $30.90 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $25.70 Typical High $91.20 | Professional | None | $20.89 | $25.70 | $91.20 |
Ambetter Setting Professional Modifier None Typical Low $14.13 Median $19.50 Typical High $28.18 | Professional | None | $14.13 | $19.50 | $28.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $21.88 Median $28.18 Typical High $83.18 | Facility | None | $21.88 | $28.18 | $83.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.18 Median $16.22 Typical High $38.90 | Professional | None | $13.18 | $16.22 | $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 $28.18 Typical High $32.36 | Professional | None | $18.20 | $28.18 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $18.20 Median $28.18 Typical High $93.33 | Facility | None | $18.20 | $28.18 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $33.88 Typical High $75.86 | Professional | None | $17.78 | $33.88 | $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 $81.28 | Professional | 52 · Reduced service | $10.47 | $11.48 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $4.57 Typical High $33.11 | Professional | 53 · Discontinued | $4.17 | $4.57 | $33.11 |
Where Indiana sits
The same service costs 7.8 times more in Vermont 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· 45th of 51
$22.91
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.