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 $6.92 Median $9.77 Typical High $15.14 | Facility | None | $6.92 | $9.77 | $15.14 |
Aetna Setting Professional Modifier None Typical Low $6.03 Median $6.61 Typical High $40.74 | Professional | None | $6.03 | $6.61 | $40.74 |
Ambetter Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $5.62 | Professional | None | $4.79 | $4.79 | $5.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.31 Median $7.94 Typical High $23.99 | Facility | None | $6.31 | $7.94 | $23.99 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.98 Median $4.79 Typical High $14.45 | Professional | None | $3.98 | $4.79 | $14.45 |
CareSource Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Facility | None | $10.00 | $10.00 | $10.00 |
CareSource Setting Professional Modifier None Typical Low $5.25 Median $7.94 Typical High $9.12 | Professional | None | $5.25 | $7.94 | $9.12 |
Cigna Setting Facility Modifier None Typical Low $5.25 Median $7.94 Typical High $26.92 | Facility | None | $5.25 | $7.94 | $26.92 |
Cigna Setting Professional Modifier None Typical Low $5.25 Median $9.77 Typical High $33.11 | Professional | None | $5.25 | $9.77 | $33.11 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $10.72 Median $19.95 Typical High $2,187.76 | Facility | None | $10.72 | $19.95 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $5.25 Median $6.46 Typical High $7.24 | Professional | None | $5.25 | $6.46 | $7.24 |
United Setting Professional Modifier None Typical Low $3.39 Median $4.79 Typical High $9.77 | Professional | None | $3.39 | $4.79 | $9.77 |
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 $3.02 Median $3.31 Typical High $20.42 | Professional | 52 · Reduced service | $3.02 | $3.31 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.20 Median $1.32 Typical High $8.13 | Professional | 53 · Discontinued | $1.20 | $1.32 | $8.13 |
Where Indiana sits
The same service costs 3.6 times more in Alaska 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· 46th of 51
$6.46
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.