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 $10.72 Median $19.95 Typical High $48.98 | Facility | None | $10.72 | $19.95 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $10.72 Typical High $52.48 | Professional | None | $9.77 | $10.72 | $52.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.47 Median $13.18 Typical High $39.81 | Facility | None | $10.47 | $13.18 | $39.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.16 Median $5.25 Typical High $14.45 | Professional | None | $3.16 | $5.25 | $14.45 |
CareSource Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Facility | None | $16.60 | $16.60 | $16.60 |
Cigna Setting Facility Modifier None Typical Low $8.51 Median $13.18 Typical High $37.15 | Facility | None | $8.51 | $13.18 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $5.13 Median $14.45 Typical High $25.70 | Professional | None | $5.13 | $14.45 | $25.70 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $18.62 Median $33.11 Typical High $2,187.76 | Facility | None | $18.62 | $33.11 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $8.51 Median $10.72 Typical High $12.02 | Professional | None | $8.51 | $10.72 | $12.02 |
United Setting Professional Modifier None Typical Low $5.50 Median $7.94 Typical High $15.85 | Professional | None | $5.50 | $7.94 | $15.85 |
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 $4.90 Median $5.37 Typical High $26.30 | Professional | 52 · Reduced service | $4.90 | $5.37 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $2.14 Typical High $10.72 | Professional | 53 · Discontinued | $1.95 | $2.14 | $10.72 |
Where Indiana sits
The same service costs 4.7 times more in Alaska 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· 41st of 51
$9.55
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.