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 $26.92 Typical High $66.07 | Facility | None | $14.45 | $26.92 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $14.45 Typical High $42.66 | Professional | None | $13.18 | $14.45 | $42.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.13 Median $17.78 Typical High $53.70 | Facility | None | $14.13 | $17.78 | $53.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.03 Median $7.59 Typical High $20.89 | Professional | None | $6.03 | $7.59 | $20.89 |
CareSource Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Facility | None | $22.39 | $22.39 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $11.48 Median $17.78 Typical High $50.12 | Facility | None | $11.48 | $17.78 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $21.38 Typical High $40.74 | Professional | None | $9.77 | $21.38 | $40.74 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $30.90 Median $44.67 Typical High $2,187.76 | Facility | None | $30.90 | $44.67 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $11.48 Median $14.45 Typical High $15.85 | Professional | None | $11.48 | $14.45 | $15.85 |
United Setting Professional Modifier None Typical Low $7.41 Median $12.59 Typical High $21.38 | Professional | None | $7.41 | $12.59 | $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 $21.38 | Professional | 52 · Reduced service | $6.61 | $7.24 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $2.88 Typical High $8.51 | Professional | 53 · Discontinued | $2.69 | $2.88 | $8.51 |
Where Indiana sits
The same service costs 3.8 times more in Kansas than in Texas. 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· 43rd of 51
$13.18
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.