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 $7.59 Median $10.23 Typical High $34.67 | Facility | None | $7.59 | $10.23 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $6.92 Median $7.94 Typical High $30.20 | Professional | None | $6.92 | $7.94 | $30.20 |
Ambetter Setting Professional Modifier None Typical Low $5.62 Median $6.46 Typical High $6.46 | Professional | None | $5.62 | $6.46 | $6.46 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.41 Median $9.33 Typical High $28.18 | Facility | None | $7.41 | $9.33 | $28.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.37 Median $6.92 Typical High $12.02 | Professional | None | $4.37 | $6.92 | $12.02 |
CareSource Setting Facility Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Facility | None | $11.75 | $11.75 | $11.75 |
CareSource Setting Professional Modifier None Typical Low $6.03 Median $9.33 Typical High $10.72 | Professional | None | $6.03 | $9.33 | $10.72 |
Cigna Setting Facility Modifier None Typical Low $6.03 Median $9.33 Typical High $30.90 | Facility | None | $6.03 | $9.33 | $30.90 |
Cigna Setting Professional Modifier None Typical Low $6.03 Median $12.30 Typical High $25.12 | Professional | None | $6.03 | $12.30 | $25.12 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $16.60 Median $23.44 Typical High $2,187.76 | Facility | None | $16.60 | $23.44 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $6.03 Median $7.59 Typical High $8.71 | Professional | None | $6.03 | $7.59 | $8.71 |
United Setting Professional Modifier None Typical Low $3.89 Median $7.24 Typical High $11.22 | Professional | None | $3.89 | $7.24 | $11.22 |
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 $3.47 Median $3.80 Typical High $19.05 | Professional | 52 · Reduced service | $3.47 | $3.80 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.41 Median $1.51 Typical High $7.59 | Professional | 53 · Discontinued | $1.41 | $1.51 | $7.59 |
Where Indiana sits
The same service costs 12.9 times more in Vermont 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· 27th of 51
$9.33
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.