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 $15.14 Median $20.42 Typical High $46.77 | Facility | None | $15.14 | $20.42 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $16.98 Typical High $60.26 | Professional | None | $13.80 | $16.98 | $60.26 |
Ambetter Setting Professional Modifier None Typical Low $9.33 Median $12.88 Typical High $18.62 | Professional | None | $9.33 | $12.88 | $18.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.79 Median $18.62 Typical High $56.23 | Facility | None | $14.79 | $18.62 | $56.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.71 Median $9.12 Typical High $14.13 | Professional | None | $8.71 | $9.12 | $14.13 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $12.88 Median $18.62 Typical High $37.15 | Professional | QW · Waived lab test | $12.88 | $18.62 | $37.15 |
CareSource Setting Facility Modifier None Typical Low $23.44 Median $23.44 Typical High $23.44 | Facility | None | $23.44 | $23.44 | $23.44 |
CareSource Setting Professional Modifier None Typical Low $12.02 Median $18.62 Typical High $21.38 | Professional | None | $12.02 | $18.62 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $12.02 Median $18.62 Typical High $61.66 | Facility | None | $12.02 | $18.62 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $20.89 Typical High $50.12 | Professional | None | $13.18 | $20.89 | $50.12 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $38.02 Median $912.01 Typical High $2,187.76 | Facility | None | $38.02 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier QW · Waived lab test Typical Low $12.02 Median $15.14 Typical High $16.98 | Professional | QW · Waived lab test | $12.02 | $15.14 | $16.98 |
United Setting Professional Modifier None Typical Low $7.76 Median $15.14 Typical High $22.39 | Professional | None | $7.76 | $15.14 | $22.39 |
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 $6.92 Median $7.59 Typical High $54.95 | Professional | 52 · Reduced service | $6.92 | $7.59 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $3.02 Typical High $21.88 | Professional | 53 · Discontinued | $2.82 | $3.02 | $21.88 |
Where Indiana sits
The same service costs 6.8 times more in Vermont 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
$15.14
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.