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 $10.47 Median $15.85 Typical High $24.55 | Facility | None | $10.47 | $15.85 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $10.47 Typical High $21.38 | Professional | None | $9.55 | $10.47 | $21.38 |
Ambetter Setting Professional Modifier None Typical Low $6.46 Median $7.76 Typical High $12.88 | Professional | None | $6.46 | $7.76 | $12.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.23 Median $12.88 Typical High $38.90 | Facility | None | $10.23 | $12.88 | $38.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.68 Median $5.62 Typical High $9.77 | Professional | None | $4.68 | $5.62 | $9.77 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $8.91 Median $12.88 Typical High $25.70 | Professional | QW · Waived lab test | $8.91 | $12.88 | $25.70 |
CareSource Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
CareSource Setting Professional Modifier None Typical Low $8.32 Median $12.88 Typical High $14.79 | Professional | None | $8.32 | $12.88 | $14.79 |
Cigna Setting Facility Modifier None Typical Low $8.32 Median $12.88 Typical High $42.66 | Facility | None | $8.32 | $12.88 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $9.12 Median $14.79 Typical High $34.67 | Professional | None | $9.12 | $14.79 | $34.67 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $26.30 Median $912.01 Typical High $2,187.76 | Facility | None | $26.30 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier QW · Waived lab test Typical Low $8.32 Median $10.47 Typical High $12.02 | Professional | QW · Waived lab test | $8.32 | $10.47 | $12.02 |
United Setting Professional Modifier None Typical Low $7.76 Median $13.18 Typical High $18.62 | Professional | None | $7.76 | $13.18 | $18.62 |
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 $4.79 Median $5.25 Typical High $23.99 | Professional | 52 · Reduced service | $4.79 | $5.25 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $2.09 Typical High $9.55 | Professional | 53 · Discontinued | $1.95 | $2.09 | $9.55 |
Where Indiana sits
The same service costs 4.3 times more in Minnesota 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· 48th of 51
$10.47
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.