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 $12.59 Median $23.99 Typical High $57.54 | Facility | None | $12.59 | $23.99 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $12.59 Typical High $87.10 | Professional | None | $11.48 | $12.59 | $87.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.30 Median $15.49 Typical High $46.77 | Facility | None | $12.30 | $15.49 | $46.77 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.89 Median $7.41 Typical High $19.50 | Professional | None | $5.89 | $7.41 | $19.50 |
CareSource Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Facility | None | $19.50 | $19.50 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $15.49 Typical High $47.86 | Facility | None | $10.00 | $15.49 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $9.12 Median $19.05 Typical High $38.90 | Professional | None | $9.12 | $19.05 | $38.90 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $27.54 Median $38.90 Typical High $2,187.76 | Facility | None | $27.54 | $38.90 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $10.00 Median $12.59 Typical High $14.45 | Professional | None | $10.00 | $12.59 | $14.45 |
United Setting Professional Modifier None Typical Low $6.46 Median $12.02 Typical High $18.62 | Professional | None | $6.46 | $12.02 | $18.62 |
3 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 $5.75 Median $6.31 Typical High $43.65 | Professional | 52 · Reduced service | $5.75 | $6.31 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.51 Typical High $17.78 | Professional | 53 · Discontinued | $2.29 | $2.51 | $17.78 |
Ambetter Setting Professional Modifier GY · Excluded by law Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | GY · Excluded by law | $8.51 | $8.51 | $8.51 |
Where Indiana sits
The same service costs 3.2 times more in Alaska 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· 45th of 51
$12.30
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.