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 $3.24 Median $4.79 Typical High $14.45 | Facility | None | $3.24 | $4.79 | $14.45 |
Aetna Setting Professional Modifier None Typical Low $2.95 Median $3.24 Typical High $6.61 | Professional | None | $2.95 | $3.24 | $6.61 |
Ambetter Setting Professional Modifier None Typical Low $1.95 Median $2.34 Typical High $3.89 | Professional | None | $1.95 | $2.34 | $3.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.09 Median $3.89 Typical High $11.75 | Facility | None | $3.09 | $3.89 | $11.75 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.82 Median $1.95 Typical High $3.02 | Professional | None | $1.82 | $1.95 | $3.02 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $2.69 Median $3.89 Typical High $7.76 | Professional | QW · Waived lab test | $2.69 | $3.89 | $7.76 |
CareSource Setting Facility Modifier None Typical Low $4.90 Median $4.90 Typical High $4.90 | Facility | None | $4.90 | $4.90 | $4.90 |
CareSource Setting Professional Modifier None Typical Low $2.51 Median $3.89 Typical High $4.47 | Professional | None | $2.51 | $3.89 | $4.47 |
Cigna Setting Facility Modifier None Typical Low $2.51 Median $3.89 Typical High $13.18 | Facility | None | $2.51 | $3.89 | $13.18 |
Cigna Setting Professional Modifier None Typical Low $2.75 Median $4.57 Typical High $10.72 | Professional | None | $2.75 | $4.57 | $10.72 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $7.94 Median $912.01 Typical High $2,187.76 | Facility | None | $7.94 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier QW · Waived lab test Typical Low $2.57 Median $3.24 Typical High $3.98 | Professional | QW · Waived lab test | $2.57 | $3.24 | $3.98 |
United Setting Professional Modifier None Typical Low $2.34 Median $3.98 Typical High $5.75 | Professional | None | $2.34 | $3.98 | $5.75 |
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 $1.48 Median $1.62 Typical High $7.59 | Professional | 52 · Reduced service | $1.48 | $1.62 | $7.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.59 Median $0.65 Typical High $3.02 | Professional | 53 · Discontinued | $0.59 | $0.65 | $3.02 |
Where Indiana sits
The same service costs 8.1 times more in Vermont than in New Jersey. 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
$3.24
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.