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 $6.31 Typical High $18.62 | Facility | None | $4.17 | $6.31 | $18.62 |
Aetna Setting Professional Modifier None Typical Low $3.80 Median $4.17 Typical High $8.91 | Professional | None | $3.80 | $4.17 | $8.91 |
Ambetter Setting Professional Modifier None Typical Low $2.51 Median $3.09 Typical High $3.55 | Professional | None | $2.51 | $3.09 | $3.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.07 Median $5.13 Typical High $15.14 | Facility | None | $4.07 | $5.13 | $15.14 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.41 Median $2.19 Typical High $5.62 | Professional | None | $1.41 | $2.19 | $5.62 |
CareSource Setting Facility Modifier None Typical Low $6.31 Median $6.31 Typical High $6.31 | Facility | None | $6.31 | $6.31 | $6.31 |
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 $3.31 Median $5.75 Typical High $13.80 | Professional | None | $3.31 | $5.75 | $13.80 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $4.27 Median $12.88 Typical High $2,187.76 | Facility | None | $4.27 | $12.88 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $3.31 Median $4.07 Typical High $4.79 | Professional | None | $3.31 | $4.07 | $4.79 |
United Setting Professional Modifier None Typical Low $1.48 Median $3.09 Typical High $6.17 | Professional | None | $1.48 | $3.09 | $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 $4.47 | Professional | 52 · Reduced service | $1.91 | $2.09 | $4.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.78 Median $0.83 Typical High $1.82 | Professional | 53 · Discontinued | $0.78 | $0.83 | $1.82 |
Where Indiana sits
The same service costs 7.2 times more in Alaska than in Kentucky. 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· 48th of 51
$3.89
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.