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 $9.33 Median $12.88 Typical High $21.88 | Facility | None | $9.33 | $12.88 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $9.77 Typical High $37.15 | Professional | None | $8.71 | $9.77 | $37.15 |
Ambetter Setting Professional Modifier None Typical Low $5.75 Median $7.94 Typical High $7.94 | Professional | None | $5.75 | $7.94 | $7.94 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.12 Median $11.48 Typical High $34.67 | Facility | None | $9.12 | $11.48 | $34.67 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.50 Median $5.75 Typical High $8.91 | Professional | None | $5.50 | $5.75 | $8.91 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $7.94 Median $11.48 Typical High $22.91 | Professional | QW · Waived lab test | $7.94 | $11.48 | $22.91 |
CareSource Setting Facility Modifier None Typical Low $11.22 Median $11.48 Typical High $14.45 | Facility | None | $11.22 | $11.48 | $14.45 |
CareSource Setting Professional Modifier None Typical Low $7.41 Median $11.48 Typical High $13.18 | Professional | None | $7.41 | $11.48 | $13.18 |
Cigna Setting Facility Modifier None Typical Low $7.41 Median $11.48 Typical High $38.90 | Facility | None | $7.41 | $11.48 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $13.18 Typical High $31.62 | Professional | None | $8.13 | $13.18 | $31.62 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $23.44 Median $912.01 Typical High $2,187.76 | Facility | None | $23.44 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier QW · Waived lab test Typical Low $7.59 Median $9.33 Typical High $10.47 | Professional | QW · Waived lab test | $7.59 | $9.33 | $10.47 |
United Setting Professional Modifier None Typical Low $4.79 Median $9.33 Typical High $13.80 | Professional | None | $4.79 | $9.33 | $13.80 |
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 $4.37 Median $4.68 Typical High $22.91 | Professional | 52 · Reduced service | $4.37 | $4.68 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.74 Median $1.91 Typical High $9.12 | Professional | 53 · Discontinued | $1.74 | $1.91 | $9.12 |
Where Indiana sits
The same service costs 5.2 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· 49th of 51
$9.12
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.