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 $14.13 Median $19.05 Typical High $33.11 | Facility | None | $14.13 | $19.05 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $14.13 Typical High $56.23 | Professional | None | $12.59 | $14.13 | $56.23 |
Ambetter Setting Professional Modifier None Typical Low $10.47 Median $17.38 Typical High $17.38 | Professional | None | $10.47 | $17.38 | $17.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.49 Median $17.38 Typical High $51.29 | Facility | None | $13.49 | $17.38 | $51.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.17 Median $6.92 Typical High $12.02 | Professional | None | $6.17 | $6.92 | $12.02 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $12.02 Median $17.38 Typical High $34.67 | Professional | QW · Waived lab test | $12.02 | $17.38 | $34.67 |
CareSource Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | None | $21.38 | $21.38 | $21.38 |
CareSource Setting Professional Modifier None Typical Low $11.22 Median $17.38 Typical High $19.95 | Professional | None | $11.22 | $17.38 | $19.95 |
Cigna Setting Facility Modifier None Typical Low $11.22 Median $17.38 Typical High $48.98 | Facility | None | $11.22 | $17.38 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $8.32 Median $19.95 Typical High $35.48 | Professional | None | $8.32 | $19.95 | $35.48 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $28.84 Median $912.01 Typical High $2,187.76 | Facility | None | $28.84 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier QW · Waived lab test Typical Low $11.22 Median $13.80 Typical High $15.85 | Professional | QW · Waived lab test | $11.22 | $13.80 | $15.85 |
United Setting Professional Modifier None Typical Low $7.24 Median $10.96 Typical High $20.89 | Professional | None | $7.24 | $10.96 | $20.89 |
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 $6.46 Median $7.08 Typical High $43.65 | Professional | 52 · Reduced service | $6.46 | $7.08 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.57 Median $2.82 Typical High $17.38 | Professional | 53 · Discontinued | $2.57 | $2.82 | $17.38 |
Where Indiana sits
The same service costs 20.4 times more in Vermont 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· 50th of 51
$12.02
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.