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 $7.24 Median $14.79 Typical High $32.36 | Facility | None | $7.24 | $14.79 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $6.61 Median $7.24 Typical High $61.66 | Professional | None | $6.61 | $7.24 | $61.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.92 Median $8.91 Typical High $26.30 | Facility | None | $6.92 | $8.91 | $26.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.37 Median $5.37 Typical High $11.75 | Professional | None | $4.37 | $5.37 | $11.75 |
CareSource Setting Facility Modifier None Typical Low $10.96 Median $10.96 Typical High $10.96 | Facility | None | $10.96 | $10.96 | $10.96 |
Cigna Setting Facility Modifier None Typical Low $6.31 Median $11.22 Typical High $29.51 | Facility | None | $6.31 | $11.22 | $29.51 |
Cigna Setting Professional Modifier None Typical Low $5.62 Median $12.30 Typical High $22.39 | Professional | None | $5.62 | $12.30 | $22.39 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $15.85 Median $21.88 Typical High $2,187.76 | Facility | None | $15.85 | $21.88 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $5.75 Median $7.08 Typical High $7.94 | Professional | None | $5.75 | $7.08 | $7.94 |
United Setting Professional Modifier None Typical Low $3.72 Median $7.24 Typical High $10.72 | Professional | None | $3.72 | $7.24 | $10.72 |
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 $3.31 Median $3.63 Typical High $30.20 | Professional | 52 · Reduced service | $3.31 | $3.63 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.32 Median $1.45 Typical High $12.30 | Professional | 53 · Discontinued | $1.32 | $1.45 | $12.30 |
Where Indiana sits
The same service costs 3.8 times more in Kansas than in Oklahoma. 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· 46th of 51
$7.08
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.