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 $39.81 Typical High $102.33 | Facility | None | $22.91 | $39.81 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $22.91 Typical High $169.82 | Professional | None | $20.89 | $22.91 | $169.82 |
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 $11.22 Median $15.14 Typical High $34.67 | Professional | None | $11.22 | $15.14 | $34.67 |
CareSource Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $18.20 Median $52.48 Typical High $79.43 | Facility | None | $18.20 | $52.48 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $25.12 Typical High $53.70 | Professional | None | $12.88 | $25.12 | $53.70 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $47.86 Median $85.11 Typical High $2,187.76 | Facility | None | $47.86 | $85.11 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $17.78 Median $22.91 Typical High $32.36 | Professional | None | $17.78 | $22.91 | $32.36 |
United Setting Professional Modifier None Typical Low $11.75 Median $16.60 Typical High $33.88 | Professional | None | $11.75 | $16.60 | $33.88 |
3 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 $85.11 | Professional | 52 · Reduced service | $10.47 | $11.48 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $4.57 Typical High $33.88 | Professional | 53 · Discontinued | $4.17 | $4.57 | $33.88 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $14.13 Median $15.14 Typical High $17.38 | Professional | 90 · Outside lab | $14.13 | $15.14 | $17.38 |
Where Indiana sits
The same service costs 3.8 times more in Alaska than in Nebraska. 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· 46th of 51
$20.42
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.