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 $15.14 Median $30.90 Typical High $69.18 | Facility | None | $15.14 | $30.90 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $15.14 Typical High $81.28 | Professional | None | $13.80 | $15.14 | $81.28 |
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 $8.71 Median $10.72 Typical High $25.70 | Professional | None | $8.71 | $10.72 | $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 |
Cigna Setting Facility Modifier None Typical Low $12.02 Median $18.62 Typical High $61.66 | Facility | None | $12.02 | $18.62 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $26.30 Typical High $50.12 | Professional | None | $11.75 | $26.30 | $50.12 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $33.11 Median $46.77 Typical High $2,187.76 | Facility | None | $33.11 | $46.77 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $12.02 Median $15.14 Typical High $16.98 | Professional | None | $12.02 | $15.14 | $16.98 |
United Setting Professional Modifier None Typical Low $7.76 Median $15.14 Typical High $22.39 | Professional | None | $7.76 | $15.14 | $22.39 |
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 $6.92 Median $7.59 Typical High $40.74 | Professional | 52 · Reduced service | $6.92 | $7.59 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $3.02 Typical High $16.22 | Professional | 53 · Discontinued | $2.75 | $3.02 | $16.22 |
Where Indiana sits
The same service costs 3.2 times more in Kansas 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· 48th of 51
$14.79
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.