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 $14.45 Median $21.88 Typical High $64.57 | Facility | None | $14.45 | $21.88 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $14.45 Typical High $28.84 | Professional | None | $13.18 | $14.45 | $28.84 |
Ambetter Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None | $17.78 | $17.78 | $17.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.80 Median $17.78 Typical High $52.48 | Facility | None | $13.80 | $17.78 | $52.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.13 Median $10.23 Typical High $23.99 | Professional | None | $8.13 | $10.23 | $23.99 |
CareSource Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Facility | None | $21.88 | $21.88 | $21.88 |
CareSource Setting Professional Modifier None Typical Low $11.48 Median $17.78 Typical High $20.42 | Professional | None | $11.48 | $17.78 | $20.42 |
Cigna Setting Facility Modifier None Typical Low $11.48 Median $17.78 Typical High $57.54 | Facility | None | $11.48 | $17.78 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $10.96 Median $24.55 Typical High $46.77 | Professional | None | $10.96 | $24.55 | $46.77 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $31.62 Median $43.65 Typical High $2,187.76 | Facility | None | $31.62 | $43.65 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $11.48 Median $14.13 Typical High $15.85 | Professional | None | $11.48 | $14.13 | $15.85 |
United Setting Professional Modifier None Typical Low $7.41 Median $14.13 Typical High $21.38 | Professional | None | $7.41 | $14.13 | $21.38 |
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 $6.61 Median $7.24 Typical High $14.45 | Professional | 52 · Reduced service | $6.61 | $7.24 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $2.88 Typical High $5.75 | Professional | 53 · Discontinued | $2.63 | $2.88 | $5.75 |
Where Indiana sits
The same service costs 3.1 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· 44th of 51
$14.13
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.