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 $11.75 Median $20.42 Typical High $52.48 | Facility | None | $11.75 | $20.42 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $11.75 Typical High $141.25 | Professional | None | $10.72 | $11.75 | $141.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.22 Median $14.45 Typical High $42.66 | Facility | None | $11.22 | $14.45 | $42.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.76 Median $8.13 Typical High $17.78 | Professional | None | $6.76 | $8.13 | $17.78 |
CareSource Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Facility | None | $17.78 | $17.78 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $14.45 Typical High $47.86 | Facility | None | $9.33 | $14.45 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $9.12 Median $17.38 Typical High $38.90 | Professional | None | $9.12 | $17.38 | $38.90 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $25.70 Median $35.48 Typical High $2,187.76 | Facility | None | $25.70 | $35.48 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $9.33 Median $11.48 Typical High $12.88 | Professional | None | $9.33 | $11.48 | $12.88 |
United Setting Professional Modifier None Typical Low $6.03 Median $11.75 Typical High $17.38 | Professional | None | $6.03 | $11.75 | $17.38 |
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 $5.37 Median $5.89 Typical High $70.79 | Professional | 52 · Reduced service | $5.37 | $5.89 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.34 Typical High $28.18 | Professional | 53 · Discontinued | $2.14 | $2.34 | $28.18 |
Where Indiana sits
The same service costs 6.3 times more in Kansas 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· 46th of 51
$11.22
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.